EDDIE RUSSELL CRNA
NPI 1154563336
Nurse Anesthetist, Certified Registered in Philadelphia, PA
About Eddie Russell Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE RUSSELL CRNA (NPI 1154563336) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN325270L) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eddie Russell Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Eddie Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19106
- Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Deborah Heart And Lung Center
Acute Care Hospitals · Browns Mills, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Eddie Russell's NPI number?
The NPI number for Eddie Russell is 1154563336. It was assigned to this individual provider in the NPPES registry on April 2, 2009.
Where is Eddie Russell located?
Eddie Russell practices at 111 S 11th St Ste 8490, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.
What is Eddie Russell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Eddie Russell enrolled in Medicare?
Yes. Eddie 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.
Which organization bills Medicare for Eddie Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Russell reassigns Medicare benefits to Ultracare Anesthesia Partners LLC (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eddie Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eddie Russell affiliated with any hospitals?
According to CMS data, Eddie Russell is affiliated with Deborah Heart And Lung Center.
When was this NPI record last updated?
The NPPES record for Eddie Russell was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Eddie Russell, CRNA · NPI 1154563336
Nurse Anesthetist, Certified Registered physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 2, 2009.
## Identity
- **NPI:** 1154563336 (Entity type: Individual)
- **Enumerated:** April 2, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN325270L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, STE 8490, Philadelphia, PA 19107-4824
- **Phone:** (215) 955-6161 · **Fax:** (215) 923-5507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Ultracare Anesthesia Partners LLC (NPI 1407236110, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 30, 2015
- **Other identifiers:** Medicare PIN 436974 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154563336) · Data from the CMS NPPES public registry.