DR. RUSSELL SHAWN HASELEY DC
NPI 1619757036
Chiropractor in Buffalo, NY

Q: What is Russell Haseley's NPI number?

The NPI number for Russell Haseley is 1619757036. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Q: What is Russell Haseley's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Russell Haseley was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 03, 2023

468 DELAWARE AVE FL 3, BUFFALO, NY 14202(716) 847-1200(716) 847-1212 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Russell Shawn Haseley Dc NPPES

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

DR. RUSSELL SHAWN HASELEY DC (NPI 1619757036) is an individual chiropractor in Buffalo, New York, licensed in New York (011778) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1619757036

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. RUSSELL SHAWN HASELEYCredential: DC

Location Address468 DELAWARE AVE FL 3Buffalo, NY 14202-1335

Mailing Address468 Delaware Ave Fl 3Buffalo, NY 14202-1335 · (716) 847-1200 · Fax (716) 847-1212

Phone(716) 847-1200

Fax(716) 847-1212

Sole ProprietorNo

Enumeration DateOctober 3, 2023

NPPES CertifiedOctober 3, 2023

✔ NPI 1619757036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · 011778

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

468 DELAWARE AVE FL 3, Buffalo, NY 14202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russell Shawn Haseley Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Russell Haseley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Pain Management Of Virginia LLC

334 mi

General Practice

2109 INDIA RD
Charlottesville, VA 22901

Reassigned Medicare billing, Virginia enrollment
10 clinicians in this Medicare group

NPI 1700637592 (434) 978-4888

Scott Wagner Integrated Medicine LLC

334 mi

General Practice

2109 INDIA RD
Charlottesville, VA 22901

Reassigned Medicare billing, Virginia enrollment
19 clinicians in this Medicare group

NPI 1447875042 (434) 978-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. GABRIELLE MEI-LING PARLA DC

Chiropractor

468 DELAWARE AVE FL 3
BUFFALO, NY 14202

Erie County (716) 847-1200

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 Russell Haseley's NPI number?

The NPI number for Russell Haseley is 1619757036. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Russell Haseley located?

Russell Haseley practices at 468 Delaware Ave Fl 3, Buffalo, NY 14202. The listed phone number is (716) 847-1200.

What is Russell Haseley's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Russell Haseley enrolled in Medicare?

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

Which organizations bill Medicare for Russell Haseley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Haseley reassigns Medicare benefits to 2 organizations: Advanced Pain Management Of Virginia LLC (Charlottesville, VA) and Scott Wagner Integrated Medicine LLC (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Haseley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Haseley accept?

Health plans from Providence Health Plan list Russell Haseley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Haseley was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.