Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAYLA MAE RUSSELL PA-C
NPI 1245141670
Physician Assistant in Selinsgrove, PA

Q: What is Kayla Russell's NPI number?

The NPI number for Kayla Russell is 1245141670. It was assigned to this individual provider in the NPPES registry on September 15, 2026.

Q: What is Kayla 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 Kayla 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 56 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.

Active since September 15, 2026PECOS Enrolled

21 SUSQUEHANNA VALLEY MALL DR STE A, SELINSGROVE, PA 17870(570) 374-7852(570) 374-7932 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kayla Mae Russell Pa-c NPPES

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

KAYLA MAE RUSSELL PA-C (NPI 1245141670) is an individual physician assistant in Selinsgrove, Pennsylvania, licensed in Pennsylvania (OA007894) and active in the NPI registry since September 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245141670

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAYLA MAE RUSSELLCredential: PA-C

Location Address21 SUSQUEHANNA VALLEY MALL DR STE ASelinsgrove, PA 17870-9148

Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185

Phone(570) 374-7852

Fax(570) 374-7932

Sole ProprietorYes

Enumeration DateSeptember 15, 2026

NPPES CertifiedSeptember 15, 2026

✔ NPI 1245141670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · OA007894

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.

21 SUSQUEHANNA VALLEY MALL DR STE A, Selinsgrove, PA 17870

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Mae 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17870 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 6

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

TAYLOR RENEE SHOWERS CRNP, DNP

Nurse Practitioner