MR. RUSSELL LLOYD VAHRENKAMP M.S., MPAS, PA-C
NPI 1821979907
Physician Assistant - Surgical in Fort Worth, TX

Active since September 08, 2025PECOS Enrolled
2900 ACME BRICK PLZ, FORT WORTH, TX 76109(817) 871-9067 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2025, Sep 8, 2025 (2 updates tracked since 2025).

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

NPI1821979907
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RUSSELL LLOYD VAHRENKAMPCredential: M.S., MPAS, PA-C
Location Address2900 ACME BRICK PLZFort Worth, TX 76109-4123
Mailing Address2900 Acme Brick PlzFort Worth, TX 76109-4123 · (817) 871-9069
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1821979907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA19693
2900 ACME BRICK PLZ, Fort Worth, TX 76109

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 (PECOS)

Mr. Russell Lloyd Vahrenkamp M.s., Mpas, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012408347
PECOS Enrollment IDI20251114002262
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.

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.

Physician Assistant
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Urology
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Urology
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Physician Assistant
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Urology
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Urology
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Nurse Practitioner (Family)
2900 ACME BRICK PLZ
FORT WORTH, TX 76109
Pharmacist
2900 ACME BRICK PLZ
FORT WORTH, TX 76109

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 enrollment system.

What insurance does Russell Vahrenkamp accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Russell Vahrenkamp 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 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 10 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.