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

Phyllis June Russo, MSN, ARNP, GCNS-BC

Individual provider Gerontology Nurse Practitioner · NPI 1932108586

Phyllis June Russo, MSN, ARNP, GCNS-BC is a Nurse Practitioner in Bonita Springs, Florida. Qualified in 1985, 41 years ago. Practices with Colin Kanar MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
41
Licensed in
CT, FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

3368 Woods Edge Cir Ste 104
Bonita Springs, FL 34134-3437 Not confirmed with CMS for 16 years — call before visiting
Phone: (239) 495-5315
Fax: (239) 596-1709
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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 ARNP 2128402 (FL)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 0134457-18 (CT)

Record details

NPI number1932108586
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , ARNP , GCNS-BC
Sole proprietorYes
NPI enumeratedJuly 16, 2005
Last updated in NPPESDecember 9, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Colin Kanar Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients180
Services billed 195 a service is one billed item, such as a visit, a test or a procedure
Average patient age84

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Colin Kanar MD PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

  • Colin Lee Kanar, MD Pain Medicine (Physical Medicine & Rehabilitation) Physician · Naples, FL