P Praxis·MD
● Active Type 1 · Individual

Nicole Elizabeth Russell, MD

Family Medicine·Sandpoint, ID· NPI 1982017968 · Enumerated 2014 · 11 years on NPI
Russell is 1 of 30 family medicine providers in Sandpoint and 1 of 1691 in Idaho.
NPI age
11 years
Enumerated 2014-06-06
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
ID, MT
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
810 North 6th Ave.
Sandpoint, ID 83864
📞 2082656252
Mailing address
810 North 6th Ave.
Sandpoint, ID 83864
📞 2082656252

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1035 1st Ave W
Kalispell, MT 599015607
📞 4067518113
Location 3
401 Railroad St W
Missoula, MT 598024109
📞 4062584789fax 4062584732

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M-16119MT license #MED-PHYS-LIC-58693 taxonomy 207Q00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Sandpoint in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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