SHYLA L RUSSELL PA-C
NPI 1821832668
Physician Assistant in Old Town, ME

Q: What is Shyla Russell's NPI number?

The NPI number for Shyla Russell is 1821832668. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Shyla Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shyla Russell was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jun 25, 2024 (2 updates tracked since 2024).

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About Shyla L Russell Pa-c NPPES

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

SHYLA L RUSSELL PA-C (NPI 1821832668) is an individual physician assistant in Old Town, Maine, licensed in Maine (PA2724) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of George Washington University School Of Medicine (2024).

NPPES Registry Identity

NPI1821832668

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHYLA L RUSSELLCredential: PA-C

Location Address242 BRUNSWICK STOld Town, ME 04468-1613

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 992-9200

Phone(207) 827-6128

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2024

Enumeration DateJune 25, 2024

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1821832668 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 ME · PA2724

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.

242 BRUNSWICK ST, Old Town, ME 04468

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Shyla L 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 ID9133668973

PECOS Enrollment IDI20240826000913

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.

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04468 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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 20

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

CHRISTINE ANN CRITTENDEN RICHARD LCSW

Social Worker (Clinical)