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

Peni Jean Russell

Individual provider Family Nurse Practitioner · NPI 1871878835

Peni Jean Russell is a Nurse Practitioner in Nacogdoches, Texas. Qualified in 2011, 15 years ago. Practices with Integrative Emergency Services Physician Group-Houston PLLC, a 216-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
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Practice location Address checks out

283 County Road 264
Nacogdoches, TX 75965-0530
Phone: (936) 564-8735
Fax: (936) 564-5033
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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 589871 (TX)

Record details

NPI number1871878835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Integrative Emergency Services Physician Group-Houston Pllc — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nacogdoches