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CRYSTAL L RUSSO PA
NPI 1902094584
Physician Assistant in Bismarck, ND

Active since October 09, 2007
900 E BROADWAY AVE, BISMARCK, ND 58501(701) 530-6500 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal L Russo Pa NPPES

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

CRYSTAL L RUSSO PA (NPI 1902094584) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0582) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1902094584
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRYSTAL L RUSSOCredential: PA
Location Address900 E BROADWAY AVEBismarck, ND 58501-4520
Mailing AddressPo Box 997Bismarck, ND 58502-0997 · (701) 530-6500
Phone(701) 530-6500
Sole ProprietorNo
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 22, 2016
✔ NPI 1902094584 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 ND · PAC0582
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.
900 E BROADWAY AVE, Bismarck, ND 58501
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Other Identifiers 5

Medicare PINP00435050LA
Medicare PIN5B103LA
Medicare PIN5B103P894LA
Medicaid1463523ND
Medicare PINN720964ND

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.

DR. LING SING CHOW M.D.
Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
KYLE WILEBSKI M.D.
Anesthesiology
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
CENTRAL DAKOTA RADIOLOGISTS PC
Radiology (Diagnostic Radiology)
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
CHERYLE K BITZ MSN, ARNP, GNP-BC
Nurse Practitioner
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7300
DR. CRAIG DEGREE PHD
Psychologist
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7300
DR. PARVEEN SUHARA WAHAB M.D
Pediatrics
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
REBEKAH CHARCHENKO CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
DR. THEODROS SOLOMON M.D., PH.D.
Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501
Burleigh County (701) 530-7000

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 Crystal Russo's NPI number?

The NPI number for Crystal Russo is 1902094584. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Crystal Russo located?

Crystal Russo practices at 900 E Broadway Ave, Bismarck, ND 58501. The listed phone number is (701) 530-6500.

What is Crystal Russo's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Russo was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.