MR. JACOB TROY RUSSELL CRNA
NPI 1972056588
Nurse Anesthetist, Certified Registered in Payson, AZ
About Mr. Jacob Troy Russell Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB TROY RUSSELL CRNA (NPI 1972056588) is an individual nurse anesthetist, certified registered in Payson, Arizona, licensed in Arizona (CRNA1226) and active in the NPI registry since July 2016. He is affiliated with Plains Regional Medical Center and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jacob Troy Russell Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 151 clinicians in this Medicare group
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Plains Regional Medical Center
Acute Care Hospitals · Clovis, NMRoosevelt General Hospital
Acute Care Hospitals · Portales, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PAYSON, AZ 85541
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 Jacob Russell's NPI number?
The NPI number for Jacob Russell is 1972056588. It was assigned to this individual provider in the NPPES registry on July 31, 2016.
Where is Jacob Russell located?
Jacob Russell practices at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 472-1273.
What is Jacob Russell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Russell enrolled in Medicare?
Yes. Jacob Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Russell reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of New Mexico P C (Albuquerque, NM) and Sleepy Plains Anesthesia LLC (Clovis, NM). 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 Jacob Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Russell accept?
Health plans from Blue Cross and Blue Shield of Texas list Jacob Russell 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.
Is Jacob Russell affiliated with any hospitals?
According to CMS data, Jacob Russell is affiliated with Plains Regional Medical Center and Roosevelt General Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Russell was last updated on July 31, 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.
# Mr. Jacob Troy Russell, CRNA · NPI 1972056588
Nurse Anesthetist, Certified Registered physician in Payson, Arizona. Individual provider, active in the CMS NPPES registry since July 31, 2016.
## Identity
- **NPI:** 1972056588 (Entity type: Individual)
- **Enumerated:** July 31, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** CRNA1226 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 807 S PONDEROSA ST, Payson, AZ 85541-5542
- **Phone:** (928) 472-1273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of New Mexico P C (NPI 1912900754, Albuquerque, NM); Sleepy Plains Anesthesia LLC (NPI 1265090344, Clovis, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1972056588) · Data from the CMS NPPES public registry.