STEPHANIE RUSSELL P.A.
NPI 1235199118
Physician Assistant - Medical in Tulsa, OK

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
8115 S MEMORIAL DR, TULSA, OK 74133(918) 254-6315(918) 403-6315 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2026, Jan 8, 2026, May 6, 2019 and 1 more (4 updates tracked since 2018).

About Stephanie Russell P.a. NPPES

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

STEPHANIE RUSSELL P.A. (NPI 1235199118) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (932) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1235199118
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHANIE RUSSELLCredential: P.A.
Location Address8115 S MEMORIAL DRTulsa, OK 74133-4331
Mailing Address3805 S Dogwood BlvdBroken Arrow, OK 74011-1769 · (918) 724-4563
Fax(918) 403-6315
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1235199118 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 OK · 932
8115 S MEMORIAL DR, Tulsa, OK 74133

Secondary Practice Location 1

Location 19001 S 101st East Ave Ste 350Tulsa, OK 74133-5798 · Phone (918) 293-6200 · Fax (918) 293-6245

Other Identifiers 1

Medicaid100740390AOK

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

Stephanie Russell P.a. 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 ID9830250224
PECOS Enrollment IDI20081203000752
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services127 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services77 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers35 claims35 services$26.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Counselor
8115 S MEMORIAL DR
TULSA, OK 74133
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Nurse Practitioner (Family)
8115 S MEMORIAL DR
TULSA, OK 74133
Nurse Practitioner (Family)
8115 S MEMORIAL DR
TULSA, OK 74133
Nurse Practitioner
8115 S MEMORIAL DR
TULSA, OK 74133
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Internal Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133

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 Stephanie Russell's NPI number?

The NPI number for Stephanie Russell is 1235199118. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Stephanie Russell located?

Stephanie Russell practices at 8115 S Memorial Dr, Tulsa, OK 74133. The listed phone number is (918) 254-6315.

What is Stephanie Russell's specialty?

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

Is Stephanie Russell enrolled in Medicare?

Yes. Stephanie 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.

What insurance does Stephanie Russell accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Stephanie 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.

Is Stephanie Russell affiliated with any hospitals?

According to CMS data, Stephanie Russell is affiliated with Ascension St John Medical Center and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Stephanie Russell was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.