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RUSSELL WALTERS PA-C
NPI 1952724403
Physician Assistant in Jefferson City, TN

Active since February 03, 2014PECOS Enrolled
110 HOSPITAL DR, JEFFERSON CITY, TN 37760(865) 471-2300(865) 471-2463 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell Walters Pa-c NPPES

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

RUSSELL WALTERS PA-C (NPI 1952724403) is an individual physician assistant in Jefferson City, Tennessee, licensed in Tennessee (2489) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952724403
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL WALTERSCredential: PA-C
Location Address110 HOSPITAL DRJefferson City, TN 37760-5281
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984 · (865) 985-7012 · Fax (865) 291-3224
Phone(865) 471-2300
Fax(865) 471-2463
Sole ProprietorNo
Enumeration DateFebruary 3, 2014
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1952724403 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 TN · 2489
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.
110 HOSPITAL DR, Jefferson City, TN 37760
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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)

Russell Walters Pa-c 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 37760 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 17

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

DR. DONALD RAY SLEETER MD
General Practice
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2500
DR. JUSTIN B. MCGOLDRICK M.D.
Emergency Medicine
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2500
RICHARD BAIRD M.D.
Emergency Medicine
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2300
NUVIEW HEALTH TENNESSEE, PC
Internal Medicine (Critical Care Medicine)
110 HOSPITAL DR
JEFFERSON CTY, TN 37760
Jefferson County (865) 471-2500
MS. ASHLEA BROOKE DANIEL APN
Nurse Practitioner
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2500
DR. DOUGLAS LEN DAMRON M.D.
Internal Medicine
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2360
AARON MICHAEL PARSONS PA-C
Physician Assistant
110 HOSPITAL DR
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2500
PHILIP CHARLES NAGLITCH DNAP, CRNA
Nurse Anesthetist, Certified Registered
110 HOSPITAL DR
JEFFERSON CTY, TN 37760
Jefferson County (865) 471-2500

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 Walters's NPI number?

The NPI number for Russell Walters is 1952724403. It was assigned to this individual provider in the NPPES registry on February 3, 2014.

Where is Russell Walters located?

Russell Walters practices at 110 Hospital Dr, Jefferson City, TN 37760. The listed phone number is (865) 471-2300.

What is Russell Walters's specialty?

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

Is Russell Walters enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Russell Walters was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.