CATHERINE RUSSO PA-C
NPI 1144006834
Physician Assistant - Surgical in Salt Lake City, UT

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
4252 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124(801) 993-1800 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Catherine Russo Pa-c NPPES

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

CATHERINE RUSSO PA-C (NPI 1144006834) is an individual surgical provider in Salt Lake City, Utah, licensed in Utah (13502894-1206) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144006834
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCATHERINE RUSSOCredential: PA-C
Location Address4252 S HIGHLAND DR STE 200Salt Lake City, UT 84124-2690
Mailing Address285 E Fort Union Blvd Unit 32Midvale, UT 84047-1570
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 7, 2023
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1144006834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in UT · 13502894-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 13502894-1206 (UT)
4252 S HIGHLAND DR STE 200, Salt Lake City, UT 84124

Accepted Insurance

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

Catherine Russo 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 ID6709231624
PECOS Enrollment IDI20231012003852
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

Surgery
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Physician Assistant
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Surgery
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Internal Medicine (Nephrology)
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Nurse Practitioner
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Urology
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Urology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144006834, enumerated as an "individual" on September 07, 2023.

The provider is located at 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124 and the phone number is (801) 993-1800.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Catherine Russo is affiliated with: INTERMOUNTAIN MEDICAL CENTER, ST MARK'S HOSPITAL and LONE PEAK HOSPITAL.