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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE A RUSSELL PA-C
NPI 1164677969
Physician Assistant - Medical in Lititz, PA

Active since November 20, 2008PECOS Enrolled
71.17/100
CMS Quality Rating
300 WEST LEMON STREET, LITITZ, PA 17543(717) 544-8696(717) 544-8697 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kyle A Russell Pa-c NPPES

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

KYLE A RUSSELL PA-C (NPI 1164677969) is an individual medical provider in Lititz, Pennsylvania, licensed in Pennsylvania (MA053822) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164677969
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKYLE A RUSSELLCredential: PA-C
Location Address300 WEST LEMON STREETLititz, PA 17543-7774
Mailing Address300 West Lemon StreetLititz, PA 17543-7774 · (717) 544-8696 · Fax (717) 544-8697
Phone(717) 544-8696
Fax(717) 544-8697
Sole ProprietorNo
Enumeration DateNovember 20, 2008
Last NPPES UpdateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1164677969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA053822
300 WEST LEMON STREET, Lititz, PA 17543
Open in Google Maps ↗

Other Identifiers 1

OtherP00667984PA · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle A Russell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims48 services$1.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kyle Russell's NPI number?

The NPI number for Kyle Russell is 1164677969. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Kyle Russell located?

Kyle Russell practices at 300 West Lemon Street, Lititz, PA 17543. The listed phone number is (717) 544-8696.

What is Kyle Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kyle Russell enrolled in Medicare?

Yes. Kyle Russell is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kyle Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Russell was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.