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

Shelly Russo, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1104549187

Shelly Russo, APRN is a Nurse Practitioner in Venice, Florida. Qualified in 2022, 4 years ago. Practices with Aneley Hundae Port Charlotte Cardiology LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1215 Jacaranda Blvd
Venice, FL 34292-4520
Phone: (941) 451-8282
Fax: (877) 652-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11021994 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11021994 (FL)

Record details

NPI number1104549187
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address1215 Jacaranda Blvd, Venice, FL 34292-4520

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aneley Hundae Port Charlotte Cardiology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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