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

Shannan R Russ, NP

Individual provider Family Nurse Practitioner · NPI 1457405144

Shannan R Russ, NP is a Nurse Practitioner in Elmira, New York. Graduated from Saginaw Valley Medical College - Nlg in 1999, 27 years ago. Practices with The Chautauqua Center Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Saginaw Valley Medical College - Nlg
Licensed in
NY
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1005 Walnut St
Elmira, NY 14901-1007
Phone: (607) 734-3968
Fax: (833) 450-5884
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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 F332653 (NY)

Record details

NPI number1457405144
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduated 1999 (27 years in practice)
Group practice The Chautauqua Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elmira