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MRS. PAULA PETRULLO RUSSO PA
NPI 1619023322
Physician Assistant - Medical in Ranson, WV

Active since January 26, 2007PECOS Enrolled
207 E 5TH AVE, RANSON, WV 25438(304) 728-5051(304) 728-9735 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Paula Petrullo Russo Pa NPPES

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

MRS. PAULA PETRULLO RUSSO PA (NPI 1619023322) is an individual medical provider in Ranson, West Virginia, licensed in West Virginia (00382) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619023322
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. PAULA PETRULLO RUSSOCredential: PA
Location Address207 E 5TH AVERanson, WV 25438-1613
Mailing Address6568 Flowing Springs RdShenandoah Junction, WV 25442-4666 · (304) 876-3626
Phone(304) 728-5051
Fax(304) 728-9735
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619023322 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 WV · 00382
207 E 5TH AVE, Ranson, WV 25438
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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)

Mrs. Paula Petrullo Russo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

DR. VIKRAM DAYAL MD
Internal Medicine
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 725-6777
DR. ROBERT E JONES III MD
Internal Medicine
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 728-5051
CITY HOSPITAL, INC.
Internal Medicine
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 725-6777
JEFFERSON MED-PEDS INC
Internal Medicine
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 279-1372
ALICE HELENE FENS PA
Physician Assistant (Medical)
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 725-6777
ROBERT JONES MD
Internal Medicine (Adolescent Medicine)
207 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 728-5051

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 Paula Russo's NPI number?

The NPI number for Paula Russo is 1619023322. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Paula Russo located?

Paula Russo practices at 207 E 5th Ave, Ranson, WV 25438. The listed phone number is (304) 728-5051.

What is Paula Russo's specialty?

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

Is Paula Russo enrolled in Medicare?

Yes. Paula Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paula Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.