MR. RUSSELL GORDON MARQUARDT SR. PA-C
NPI 1477551661
Physician Assistant - Medical in Harlan, IA

Q: What is Russell Marquardt's NPI number?

The NPI number for Russell Marquardt is 1477551661. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Russell Marquardt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Russell Marquardt was last updated on December 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

1220 CHATBURN AVE, HARLAN, IA 51537(712) 755-5130(712) 755-4445 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Russell Gordon Marquardt Sr. Pa-c NPPES

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

MR. RUSSELL GORDON MARQUARDT SR. PA-C (NPI 1477551661) is an individual medical provider in Harlan, Iowa, licensed in Iowa (888) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Myrtue Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1477551661

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. RUSSELL GORDON MARQUARDT SR.Credential: PA-C

Location Address1220 CHATBURN AVEHarlan, IA 51537-2009

Mailing Address4022 Main StElk Horn, IA 51531 · (712) 764-4642 · Fax (712) 764-4643

Phone(712) 755-5130

Fax(712) 755-4445

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateJuly 12, 2005

Last NPPES UpdateDecember 4, 2007

✔ NPI 1477551661 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 IA · 888

1220 CHATBURN AVE, Harlan, IA 51537

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Other Identifiers 1

Medicare UPINR03132IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Mr. Russell Gordon Marquardt Sr. Pa-c 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 ID1850310095

PECOS Enrollment IDI20051116000678

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.

Hospital Affiliations CMS Care Compare 2

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

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161374

Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County

Emergency services Birthing friendly

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161376

Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims14 services$5.67 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$18.85 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims38 services$3.05 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.71 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers26 claims26 services$48.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$113.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CLARE C CROGHAN PA-C

Physician Assistant