ZULEIMA DESIREE RUSSELL
NPI 1174419964
Physician Assistant in Louisville, KY

Q: What is Zuleima Russell's NPI number?

The NPI number for Zuleima Russell is 1174419964. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Q: What is Zuleima Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zuleima Russell was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 17, 2025PECOS EnrolledAccepts Medicare Assignment

9700 STONESTREET RD, LOUISVILLE, KY 40272(502) 995-2400 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Jun 17, 2025 (2 updates tracked since 2025).

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About Zuleima Desiree Russell NPPES

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

ZULEIMA DESIREE RUSSELL (NPI 1174419964) is an individual physician assistant in Louisville, Kentucky and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174419964

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameZULEIMA DESIREE RUSSELL

Location Address9700 STONESTREET RDLouisville, KY 40272-2884

Mailing Address9500 Williamsburg Plz Apt 301Louisville, KY 40222-5066 · (251) 802-2071

Phone(502) 995-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 17, 2025

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1174419964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9700 STONESTREET RD, Louisville, KY 40272

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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

Zuleima Desiree Russell 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 ID8820580558

PECOS Enrollment IDI20251120002912

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

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40272 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

TRILOGY HEALTHCARE OF LOUISVILLE SOUTHWEST, LLC

Skilled Nursing Facility