Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sarah Ann Russell, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1417623828

Sarah Ann Russell, AGACNP-BC is a Nurse Practitioner in Washington, Missouri. Qualified in 2021, 5 years ago. Practices with Physical Therapy Spine and Sports Medicine LLC, a 122-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

851 E 5th St Ste 208
Washington, MO 63090-3129
Phone: (636) 239-8097
Fax: (636) 390-7308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15945 Clayton Rd Ste 220, Ballwin, MO 63011-2491 — (636) 239-8097
  • 1165a E Cherry St, Troy, MO 63379-1520 — (636) 239-8097

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2021042417 (MO)

Record details

NPI number1417623828
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

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 Physical Therapy Spine And Sports Medicine Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Washington