Individual provider

Samara Russell, APRN, NP-C

Adult Health Nurse Practitioner Gerontology Nurse Practitioner Occupational Health Clinical Nurse Specialist Medicare enrolled

Samara Russell, APRN, NP-C is an Adult Health Nurse Practitioner in Mount Arlington, NJ, registered under NPI 1356622120. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 400 VALLEY RD STE 105, Mount Arlington, NJ 07856. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

400 VALLEY RD STE 105, Mount Arlington, NJ 07856 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
26NJ0107800 NJ Adult Health Nurse Practitioner primary
004763 CT Adult Health Nurse Practitioner
CAPRN00529 RI Gerontology Nurse Practitioner
4763 CT Occupational Health Clinical Nurse…

Licences are recorded in 3 states: NJ, CT, RI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4880859461
Enrollment ID
I20210909003855

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Connecticut, New Jersey and Rhode Island. The practice address on file is in Mount Arlington, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
004763
Specialty
Adult Health Nurse Practitioner
Verify with the CT board →
NJ New Jersey practice address
Licence
26NJ0107800
Specialty
Adult Health Nurse Practitioner
Verify with the NJ board →
RI Rhode Island
Licence
CAPRN00529
Specialty
Gerontology Nurse Practitioner
Verify with the RI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health 26NJ0107800 NJ primary
363LA2200X Adult Health Nurse Practitioner Adult Health 004763 CT
363LG0600X Gerontology Nurse Practitioner Gerontology CAPRN00529 RI
364SX0106X Occupational Health Clinical Nurse Specialist Occupational Health 4763 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1356622120 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 7, 2011
Last updatedAug 4, 2021
StatusActive
Sole proprietorNo
CredentialAPRN, NP-C
Practice address 400 VALLEY RD STE 105
Mount Arlington, NJ 07856
(973) 770-7101
Fax (973) 770-7108
Mailing address 475 KILVERT ST
Warwick, RI 02886
The last update on file is Aug 4, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1356622120 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 5 6 6 2 2 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 1 6 3 2 4 1 4

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1356622120?
NPI 1356622120 is the National Provider Identifier assigned to Samara Russell, APRN, NP-C in Mount Arlington, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Samara Russell, APRN, NP-C?
The phone number on file with NPPES is (973) 770-7101, last updated Aug 4, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Samara Russell, APRN, NP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1356622120 a valid number?
Yes. 1356622120 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.