SELENA ROSE RUSSO PA-C
NPI 1801300694
Physician Assistant in Aiea, HI

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
99-115 AIEA HEIGHTS DR STE 276B, AIEA, HI 96701(808) 784-3050(808) 486-5558 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Jul 21, 2023, Dec 1, 2017 (3 updates tracked since 2017).

About Selena Rose Russo Pa-c NPPES

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

SELENA ROSE RUSSO PA-C (NPI 1801300694) is an individual physician assistant in Aiea, Hawaii, licensed in Hawaii (AMD-1004) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801300694
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSELENA ROSE RUSSOCredential: PA-C
Location Address99-115 AIEA HEIGHTS DR STE 276BAiea, HI 96701-3924
Mailing Address99-115 Aiea Heights Dr Ste 276bAiea, HI 96701-3924 · (718) 249-5360
Fax(808) 486-5558
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 1, 2017
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1801300694 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 HI · AMD-1004
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.
99-115 AIEA HEIGHTS DR STE 276B, Aiea, HI 96701

Other Names 1

Former Name (1)Selena Rose Nieto Ballestero Pa-c

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

Selena Rose Russo 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 ID7719382134
PECOS Enrollment IDI20210824001693
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96701 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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

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

Clinic/Center
99-115 AIEA HEIGHTS DR STE 276B
AIEA, HI 96701

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 Selena Russo's NPI number?

The NPI number for Selena Russo is 1801300694. It was assigned to this individual provider in the NPPES registry on December 1, 2017. The provider is also known as Selena Rose Nieto Ballestero Pa-C.

Where is Selena Russo located?

Selena Russo practices at 99-115 Aiea Heights Dr Ste 276B, Aiea, HI 96701. The listed phone number is (808) 784-3050.

What is Selena Russo's specialty?

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

Is Selena Russo enrolled in Medicare?

Yes. Selena Russo 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 Selena Russo accept?

Health plans from HMSA list Selena Russo 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 Selena Russo was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.