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MARIA JEANETTE RUSSELL PA-C
NPI 1053131060
Physician Assistant in Shoreline, WA

Active since October 14, 2024PECOS EnrolledAccepts Medicare Assignment
20120 BALLINGER WAY NE, SHORELINE, WA 98155(206) 365-9000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maria Jeanette Russell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA JEANETTE RUSSELL PA-C (NPI 1053131060) is an individual physician assistant in Shoreline, Washington, licensed in Washington (PA.PA.70092411) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053131060
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA JEANETTE RUSSELLCredential: PA-C
Location Address20120 BALLINGER WAY NEShoreline, WA 98155-1117
Mailing Address17837 Ashworth Ave NShoreline, WA 98133-5018 · (425) 387-9416
Phone(206) 365-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 14, 2024
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1053131060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA.PA.70092411
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20120 BALLINGER WAY NE, Shoreline, WA 98155
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Other Names 1

Former Name (1)Maria Jeanette Fridenmaker

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Jeanette Russell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426533985
PECOS Enrollment IDI20260401003867
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRX WA URGENT CARE PROVIDERS PLLC
Family Medicine
20120 BALLINGER WAY NE, SUITE A-01
SHORELINE, WA 98155
King County (206) 365-9000
DR. WILLIAM RICHARD STUBBS M.D.
Family Medicine
20120 BALLINGER WAY NE, SUITE B
SHORELINE, WA 98155
King County (206) 365-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Russell's NPI number?

The NPI number for Maria Russell is 1053131060. It was assigned to this individual provider in the NPPES registry on October 14, 2024. The provider is also known as Maria Jeanette Fridenmaker.

Where is Maria Russell located?

Maria Russell practices at 20120 Ballinger Way NE, Shoreline, WA 98155. The listed phone number is (206) 365-9000.

What is Maria Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Russell enrolled in Medicare?

Yes. Maria Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maria Russell was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.