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

Russell Samuel Houck, CRNP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1366198541

Russell Samuel Houck, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP024930 (PA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence SP024930 (PA)

Record details

NPI number1366198541
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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