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RUSSELL L WAVRIN MD
NPI 1962479071
Obstetrics & Gynecology in Edina, MN

Active since March 07, 2006PECOS Enrolled
6545 FRANCE AVE S, STE 540, EDINA, MN 55435(952) 927-4045(952) 924-4133 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Russell L Wavrin Md NPPES

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

RUSSELL L WAVRIN MD (NPI 1962479071) is an individual obstetrics & gynecology provider in Edina, Minnesota, licensed in Minnesota (244196) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962479071
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRUSSELL L WAVRINCredential: MD
Location Address6545 FRANCE AVE S, STE 540Edina, MN 55435-2131
Mailing Address6545 France Ave S, Ste 540Edina, MN 55435-2131 · (952) 927-4045 · Fax (952) 924-4133
Phone(952) 927-4045
Fax(952) 924-4133
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateApril 4, 2016
✔ NPI 1962479071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 244196
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Reproductive EndocrinologyTaxonomy 207VE0102X · License 244196 (MN)
6545 FRANCE AVE S, Edina, MN 55435
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINB58384
OtherHP14652MN · Healthpartners
Medicare ID-Type Unspecified160000055
Medicaid055302600MN
Other18559WAMN · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell L Wavrin Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Russell Wavrin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services
0.1 mi
Hospitalist
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1770663031 (952) 924-5000
Infinite Health Collaborative, PA
1.8 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

THOMAS STEALEY MD
Pediatrics
6545 FRANCE AVE S, SUITE 400
EDINA, MN 55435
Hennepin County (952) 920-9191
DR. MICHELE ANN REYNOLDS D.D.S.,M.S.
Dentist (Endodontics)
6545 FRANCE AVE S, SUITE 665 SOUTHDALE MEDICAL BUILDING
EDINA, MN 55435
Hennepin County (952) 927-8694
MRS. AMY MICHELLE BOYDEN-HOEKSTRA P.T.
Physical Therapist
6545 FRANCE AVE S, SUITE 373
EDINA, MN 55435
Hennepin County (952) 835-4512
VICKI I BUTH CNP
Nurse Practitioner (Obstetrics & Gynecology)
6545 FRANCE AVE S, STE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
MICHELE R O'BRIEN CNS
Clinical Nurse Specialist (Adult Health)
6545 FRANCE AVE S, STE 210
EDINA, MN 55435
Hennepin County (952) 928-2900
DR. DAVID JOHN CLAY DDS MS
Dentist (Prosthodontics)
6545 FRANCE AVE S, SUITE 680
EDINA, MN 55435
Hennepin County (952) 922-5326
DR. MARY ELIZABETH JOHNSON D.D.S.
Dentist (Endodontics)
6545 FRANCE AVE S, SUITE 665
EDINA, MN 55435
Hennepin County (952) 927-8694
STEPHANIE LYNAE GULBRANSON
Nurse Practitioner (Family)
6545 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 836-3695

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 Wavrin's NPI number?

The NPI number for Russell Wavrin is 1962479071. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Russell Wavrin located?

Russell Wavrin practices at 6545 France Ave S Ste 540, Edina, MN 55435. The listed phone number is (952) 927-4045.

What is Russell Wavrin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Russell Wavrin enrolled in Medicare?

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

Which organizations bill Medicare for Russell Wavrin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Wavrin reassigns Medicare benefits to 2 organizations: Fairview Health Services (Edina, MN) and Infinite Health Collaborative, PA (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Wavrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Wavrin was last updated on April 4, 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.