DENISA KAVIKOVA RUSSELL P.A.
NPI 1750628798
Physician Assistant - Medical in Prosper, TX

Active since January 10, 2013PECOS EnrolledAccepts Medicare Assignment
821 N COLEMAN ST STE 100, PROSPER, TX 75078(972) 469-2626 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Denisa Kavikova Russell P.a. NPPES

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

DENISA KAVIKOVA RUSSELL P.A. (NPI 1750628798) is an individual medical provider in Prosper, Texas, licensed in Texas (PA08261) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750628798
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDENISA KAVIKOVA RUSSELLCredential: P.A.
Location Address821 N COLEMAN ST STE 100Prosper, TX 75078-2304
Mailing Address821 N Coleman St Ste 100Prosper, TX 75078-2304 · (972) 469-2626
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 10, 2013
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1750628798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA08261
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA08261 (TX)
821 N COLEMAN ST STE 100, Prosper, TX 75078

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

Denisa Kavikova Russell P.a. 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 ID8022256098
PECOS Enrollment IDI20130603000488
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.

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 Denisa Russell's NPI number?

The NPI number for Denisa Russell is 1750628798. It was assigned to this individual provider in the NPPES registry on January 10, 2013.

Where is Denisa Russell located?

Denisa Russell practices at 821 N Coleman St Ste 100, Prosper, TX 75078. The listed phone number is (972) 469-2626.

What is Denisa Russell's specialty?

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

Is Denisa Russell enrolled in Medicare?

Yes. Denisa 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.

When was this NPI record last updated?

The NPPES record for Denisa Russell was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.