ELIZABETH B RUSSELL PA-C
NPI 1457426702
Physician Assistant - Medical in Boston, MA
About Elizabeth B Russell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH B RUSSELL PA-C (NPI 1457426702) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA1862) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth B Russell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02215
BOSTON, MA 02215
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 Elizabeth Russell's NPI number?
The NPI number for Elizabeth Russell is 1457426702. It was assigned to this individual provider in the NPPES registry on November 22, 2006. The provider is also known as Elizabeth Breckheimer Pa-C.
Where is Elizabeth Russell located?
Elizabeth Russell practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (404) 735-6905.
What is Elizabeth Russell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Elizabeth Russell enrolled in Medicare?
Yes. Elizabeth Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Russell was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Elizabeth B Russell, PA-C · NPI 1457426702
Medical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1457426702 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA1862 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVE, Boston, MA 02215
- **Phone:** (404) 735-6905
## 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:** June 5, 2018
- **Other identifiers:** Medicaid 163604725B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457426702) · Data from the CMS NPPES public registry.