Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Theresa Lynn Russo, NP

Individual provider Family Nurse Practitioner · NPI 1245219815

Mrs. Theresa Lynn Russo, NP is a Nurse Practitioner in Syracuse, New York. Qualified in 1990, 36 years ago. Practices with Cathy J. Berry, MD, PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

101 Pine St
Syracuse, NY 13210-1149
Phone: (315) 422-8105
Fax: (315) 471-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F330527-1 (NY)

Record details

NPI number1245219815
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Cathy J. Berry, M.D., P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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