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

Stephanie Nicole Russell, AGPCNP

Individual provider Nurse Practitioner · NPI 1629598370

Stephanie Nicole Russell, AGPCNP is a Nurse Practitioner in Elmira, New York. Qualified in 2017, 9 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

200 Madison Ave Ste 2D
Elmira, NY 14901-3219
Phone: (607) 873-1832
Fax: (607) 873-1833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 308433 (NY)

Record details

NPI number1629598370
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJune 23, 2017
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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