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

Nicole Elizabeth Russell, MD

Individual provider Family Medicine Physician · NPI 1982017968

Nicole Elizabeth Russell, MD is a Family Practice in Sandpoint, Idaho. Qualified in 2014, 12 years ago. Practices with Boundary Regional Community Health Center Inc, a 23-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Idaho, Montana and Pennsylvania.

Years since qualifying
12
Licensed in
FL, ID, MT, PA
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

810 N 6th Ave
Sandpoint, ID 83864
Phone: (208) 265-6252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2820 Ne 214th St Ste 801, Aventura, FL 33180-1269 — (888) 803-3370
  • 400 N Tampa St Fl 15, Tampa, FL 33602-4730 — (888) 803-3370
  • 1035 1st Ave W, Kalispell, MT 59901-5607 — (406) 751-8113
  • 401 Railroad St W, Missoula, MT 59802-4109 — (406) 258-4789
  • 2418 E York St, Philadelphia, PA 19125-3006 — (888) 803-3370

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-16119 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD494187 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MED-PHYS-LIC-58693 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence ME179868 (FL)

Record details

NPI number1982017968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boundary Regional Community Health Center Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Sandpoint