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CONNER JACKSON RUSSELL
NPI 1861348724
Physician Assistant in Eugene, OR

Active since March 04, 2026PECOS Enrolled
1400 EXECUTIVE PKWY STE 250, EUGENE, OR 97401(971) 300-0654 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Conner Jackson Russell NPPES

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

CONNER JACKSON RUSSELL (NPI 1861348724) is an individual physician assistant in Eugene, Oregon and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861348724
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCONNER JACKSON RUSSELL
Location Address1400 EXECUTIVE PKWY STE 250Eugene, OR 97401-7104
Mailing Address4427 N Joey CtLitchfield Park, AZ 85340-5123
Phone(971) 300-0654
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1861348724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1400 EXECUTIVE PKWY STE 250, Eugene, OR 97401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conner Jackson Russell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Conner Russell's NPI number?

The NPI number for Conner Russell is 1861348724. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Conner Russell located?

Conner Russell practices at 1400 Executive Pkwy Ste 250, Eugene, OR 97401. The listed phone number is (971) 300-0654.

What is Conner Russell's specialty?

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

Is Conner Russell enrolled in Medicare?

Yes. Conner Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Conner Russell was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.