JOSEPHINE MARY RUSSO PA-C
NPI 1518616341
Physician Assistant - Medical in Westchester, IL

Q: What is Josephine Russo's NPI number?

The NPI number for Josephine Russo is 1518616341. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Josephine Russo'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 Josephine Russo was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 March 21, 2022PECOS Enrolled

947 S MANNHEIM RD, WESTCHESTER, IL 60154(708) 550-7005 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 23, 2024, Sep 19, 2024 (2 updates tracked since 2024).

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About Josephine Mary Russo Pa-c NPPES

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

JOSEPHINE MARY RUSSO PA-C (NPI 1518616341) is an individual medical provider in Westchester, Illinois and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518616341

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJOSEPHINE MARY RUSSOCredential: PA-C

Location Address947 S MANNHEIM RDWestchester, IL 60154-2515

Mailing Address947 S Mannheim RdWestchester, IL 60154-2515 · (920) 883-7509

Phone(708) 550-7005

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 21, 2022

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1518616341 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

947 S MANNHEIM RD, Westchester, IL 60154

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Josephine Mary Russo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557746559

PECOS Enrollment IDI20220912001621

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

735 services246 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

353 services209 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

62 services41 patients

Other Providers at the Same Location NPPES 7

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

ASCEND MEDICAL INC.

Clinic/Center (Pain)