MR. RUSSELL LLOYD VAHRENKAMP M.S., MPAS, PA-C
NPI 1821979907
Physician Assistant - Surgical in Fort Worth, TX
About Mr. Russell Lloyd Vahrenkamp M.s., Mpas, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RUSSELL LLOYD VAHRENKAMP M.S., MPAS, PA-C (NPI 1821979907) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA19693) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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. Russell Lloyd Vahrenkamp M.s., Mpas, 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vahrenkamp's NPI number?
The NPI number for Russell Vahrenkamp is 1821979907. It was assigned to this individual provider in the NPPES registry on September 8, 2025.
Where is Russell Vahrenkamp located?
Russell Vahrenkamp practices at 2900 Acme Brick Plz, Fort Worth, TX 76109. The listed phone number is (817) 871-9067.
What is Russell Vahrenkamp's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Russell Vahrenkamp enrolled in Medicare?
Yes. Russell Vahrenkamp 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 Russell Vahrenkamp was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Russell Lloyd Vahrenkamp, M.S., MPAS, PA-C · NPI 1821979907
Surgical physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1821979907 (Entity type: Individual)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA19693 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 ACME BRICK PLZ, Fort Worth, TX 76109-4123
- **Phone:** (817) 871-9067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821979907) · Data from the CMS NPPES public registry.