MR. JEREMY LAWRENCE RUSSELL PA-C
NPI 1639808306
Physician Assistant - Surgical in Hammond, LA

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
79.02/100
CMS Quality Rating
15790 PAUL VEGA MD DR, HAMMOND, LA 70403(985) 345-2700(985) 230-6653 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2023, Jan 3, 2023, Jun 8, 2022 (3 updates tracked since 2022).

About Mr. Jeremy Lawrence Russell Pa-c NPPES

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

MR. JEREMY LAWRENCE RUSSELL PA-C (NPI 1639808306) is an individual surgical provider in Hammond, Louisiana, licensed in Louisiana (332993) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2022).

NPPES Registry Identity

NPI1639808306
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JEREMY LAWRENCE RUSSELLCredential: PA-C
Location Address15790 PAUL VEGA MD DRHammond, LA 70403-1436
Mailing AddressPo Box 1389Albany, LA 70711-1389 · (985) 320-2195
Fax(985) 230-6653
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2022
Enumeration DateJune 8, 2022
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1639808306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in LA · 332993
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1196694 (LA)
15790 PAUL VEGA MD DR, Hammond, LA 70403

Other Identifiers 1

Other1639808306LA · Npi

Accepted 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. Jeremy Lawrence Russell 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 ID4789068198
PECOS Enrollment IDI20220902002542
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 2

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.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
67 services17 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.5
Promoting Interoperability100
Improvement Activities40
Cost42.93

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.

General Acute Care Hospital
15790 PAUL VEGA MD DR, FINANCE DEPARTMENT
HAMMOND, LA 70403
Nurse Practitioner (Acute Care)
15790 PAUL VEGA MD DR
HAMMOND, LA 70403
Emergency Medicine
15790 PAUL VEGA MD DR
HAMMOND, LA 70403
Nurse Anesthetist, Certified Registered
15790 PAUL VEGA MD DR
HAMMOND, LA 70403
Nurse Practitioner
15790 PAUL VEGA MD DR, REVENUE MANAGEMENT DEPARTMENT
HAMMOND, LA 70403
Anesthesiology
15790 PAUL VEGA MD DR
HAMMOND, LA 70403
Nurse Practitioner (Neonatal)
15790 PAUL VEGA MD DR
HAMMOND, LA 70403
Nurse Practitioner (Family)
15790 PAUL VEGA MD DR
HAMMOND, LA 70403

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 Jeremy Russell's NPI number?

The NPI number for Jeremy Russell is 1639808306. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Jeremy Russell located?

Jeremy Russell practices at 15790 Paul Vega MD Dr, Hammond, LA 70403. The listed phone number is (985) 345-2700.

What is Jeremy Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeremy Russell enrolled in Medicare?

Yes. Jeremy Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Russell accept?

Health plans from HMO Louisiana list Jeremy Russell 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.

Is Jeremy Russell affiliated with any hospitals?

According to CMS data, Jeremy Russell is affiliated with North Oaks Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Russell was last updated on June 8, 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.