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JERRICA RUSSELL PA-C
NPI 1588519920
Physician Assistant in Branson, MO

Active since March 02, 2026PECOS Enrolled
1150 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616(417) 336-4112 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About Jerrica Russell Pa-c NPPES

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

JERRICA RUSSELL PA-C (NPI 1588519920) is an individual physician assistant in Branson, Missouri, licensed in Missouri (2026009997) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588519920
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJERRICA RUSSELLCredential: PA-C
Location Address1150 STATE HIGHWAY 248 STE 200Branson, MO 65616-4186
Mailing Address1150 State Highway 248Branson, MO 65616-3758
Phone(417) 336-4112
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 2, 2026
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1588519920 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 MO · 2026009997
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.
1150 STATE HIGHWAY 248 STE 200, Branson, MO 65616
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerrica Russell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274001581
PECOS Enrollment IDI20260505004049
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MAKAYLA JOB
Physician Assistant
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
ALLISON BAKER NP
Nurse Practitioner
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-7112
ROBBIE THOMAS MANGALASSERIL M.D.
Internal Medicine (Cardiovascular Disease)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
JEREMY BERBEREIA PA-C
Physician Assistant (Medical)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
KELLY MARTI PA
Physician Assistant (Medical)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
DR. NARIN ARUNAKUL M.D.
Internal Medicine (Interventional Cardiology)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
MENFIL ANDRES ORELLANA-BARRIOS MD
Internal Medicine (Interventional Cardiology)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112
SUTHIPONG SOONTRAPA MD
Internal Medicine (Cardiovascular Disease)
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 65616
Taney County (417) 336-4112

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 Jerrica Russell's NPI number?

The NPI number for Jerrica Russell is 1588519920. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Jerrica Russell located?

Jerrica Russell practices at 1150 State Highway 248 Ste 200, Branson, MO 65616. The listed phone number is (417) 336-4112.

What is Jerrica Russell's specialty?

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

Is Jerrica Russell enrolled in Medicare?

Yes. Jerrica Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerrica Russell was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.