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

Rebecca Ann Russo, FNP-BC

Individual provider Nurse Practitioner · NPI 1639662349

Rebecca Ann Russo, FNP-BC is a Nurse Practitioner in Batavia, New York. Qualified in 2018, 8 years ago. Practices with United Memorial Medical Center, a 273-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
8
Licensed in
MI, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

229 Summit St Ste 4
Batavia, NY 14020-1645
Phone: (585) 815-6710
Fax: (585) 815-6711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2655 Ridgeway Ave Ste 440, Rochester, NY 14626-4296 — (585) 723-7705

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 345861 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704289501 (MI)

Record details

NPI number1639662349
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice United Memorial Medical Center — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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