MS. JAIZANE ALEXIS RUSSELL
NPI 1982189247
Social Worker - Clinical in Dayton, OH

Q: What is Jaizane Russell's NPI number?

The NPI number for Jaizane Russell is 1982189247. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Jaizane Russell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jaizane Russell was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 02, 2018PECOS Enrolled

1 ELIZABETH PL, DAYTON, OH 45417(937) 234-0121 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2025, Feb 7, 2019, Oct 2, 2018 (3 updates tracked since 2018).

On this page

About Ms. Jaizane Alexis Russell NPPES

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

MS. JAIZANE ALEXIS RUSSELL (NPI 1982189247) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I-2405497) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982189247

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JAIZANE ALEXIS RUSSELL

Location Address1 ELIZABETH PLDayton, OH 45417-3445

Mailing Address5244 W 2nd StDayton, OH 45417-9044 · (937) 818-9506

Phone(937) 234-0121

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 2, 2018

Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1982189247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I-2405497

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License S.1903283 (OH)

1 ELIZABETH PL, Dayton, OH 45417

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaizane Alexis Russell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254818305

PECOS Enrollment IDI20260121000964

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 Reassignment

Medicare enrollment records show Jaizane Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Behavioral Health, Inc.

2.7 mi

Clinic/Center

601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BUILDING
Dayton, OH 45417

Reassigned Medicare billing, Ohio enrollment
100 clinicians in this Medicare group

NPI 1205888641 (937) 224-1694

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 45417 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

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

SCOTT A MURRAY MD

Physical Medicine & Rehabilitation