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

Active since September 15, 2026
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: September 20, 2026.

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.

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
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

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

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.

Nurse Practitioner
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870
Family Medicine
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870
Nurse Practitioner
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870
Nurse Practitioner
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870
Physician Assistant
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870
Family Medicine
21 SUSQUEHANNA VALLEY MALL DR STE A
SELINSGROVE, PA 17870

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 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.

Where is Kayla Russell located?

Kayla Russell practices at 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870. The listed phone number is (570) 374-7852.

What is Kayla Russell's specialty?

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

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 10 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.