JOHN CALVIN RUSSELL PA
NPI 1275584070
Physician Assistant in Grand Island, NE
About John Calvin Russell Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN CALVIN RUSSELL PA (NPI 1275584070) is an individual physician assistant in Grand Island, Nebraska, licensed in Nebraska (815) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Calvin Russell Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
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 John Russell's NPI number?
The NPI number for John Russell is 1275584070. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is John Russell located?
John Russell practices at 2201 N Broadwell Ave, Grand Island, NE 68803. The listed phone number is (308) 382-3660.
What is John Russell's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Russell enrolled in Medicare?
Yes. John Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Russell was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# John Calvin Russell, PA · NPI 1275584070
Physician Assistant physician in Grand Island, Nebraska. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1275584070 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 815 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 N BROADWELL AVE, Grand Island, NE 68803-2153
- **Phone:** (308) 382-3660 · **Fax:** (308) 395-3214
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 25, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 276823 (NE); Medicare UPIN S92536 (NE); Medicaid 47078557539 (NE)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275584070) · Data from the CMS NPPES public registry.