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Deactivated NPI 1376865279 Deactivated / Inactive NPI Male Practitioner

Carl Russell

Case Manager/Care Coordinator • Kennett, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Russell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 18, 2010
NPI Deactivation Date March 27, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Carl Russell was a registered Case Manager/Care Coordinator practicing in Kennett, MO. Throughout an active medical career spanning 15 years, Carl Russell provided care at the practice location at 925 HIGHWAY V V until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

925 Highway V V

Kennett, MO 63857

Telephone 5738885925
Associated Practice Facility / Clinic
🏢 Family Counseling Center Facility NPI 1144674342

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Kennett, MO (1640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Myra Callahan

Case Manager/Care Coordinator

NPI 1003237264
Julee Hill

Case Manager/Care Coordinator

NPI 1003263344
Ann Graf , PLPC

Counselor - Professional

NPI 1003328873
Jeremy Tucker

Behavior Technician

NPI 1003594581
Krystal Barton

Behavior Technician

NPI 1003775677
Jeanie Welch , LCSW

Social Worker - Clinical

NPI 1013267384

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active February 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2010

Registered at 925 HIGHWAY V V, KENNETT, MO 63857 (Tel: 5738885925)

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Updated Business Mailing Address February 18, 2010

Registered at 500 US HIGHWAY 61 NORTH, HAYTI, MO 63851

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Provider Name / Credentials Updated February 18, 2010

Recorded as CARL RUSSELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2010

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376865279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2010
Last Update: February 18, 2010
Deactivation Date: March 27, 2025

Mailing Address

500 Us Highway 61 North

Hayti, MO 63851

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.