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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JULIETTE ADELLE RUSSO PA-C
NPI 1982575262
Physician Assistant in Fort Walton Beach, FL

Active since September 17, 2025PECOS Enrolled
1046 MAR WALT DR STE 200, FORT WALTON BEACH, FL 32547(850) 243-2229 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Sep 17, 2025 (2 updates tracked since 2025).

About Juliette Adelle Russo Pa-c NPPES

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

JULIETTE ADELLE RUSSO PA-C (NPI 1982575262) is an individual physician assistant in Fort Walton Beach, Florida, licensed in Florida (PA9120802) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982575262
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIETTE ADELLE RUSSOCredential: PA-C
Location Address1046 MAR WALT DR STE 200Fort Walton Beach, FL 32547-6645
Mailing Address1046 Mar Walt Dr Ste 200Fort Walton Beach, FL 32547-6645 · (850) 243-2229
Phone(850) 243-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2025
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1982575262 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 FL · PA9120802
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.
1046 MAR WALT DR STE 200, Fort Walton Beach, FL 32547
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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)

Juliette Adelle Russo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022501774
PECOS Enrollment IDI20251202002425
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 32547 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

KIMBERLY D PARKS CNM
Advanced Practice Midwife
1046 MAR WALT DR STE 200
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-2229
MEGAN MICHELLE DUNCAN
Social Worker (Clinical)
1046 MAR WALT DR STE 200
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-2229
HUNTER NICOLE GRAHAM MD
Obstetrics & Gynecology
1046 MAR WALT DR STE 200
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-2229

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 Juliette Russo's NPI number?

The NPI number for Juliette Russo is 1982575262. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Juliette Russo located?

Juliette Russo practices at 1046 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547. The listed phone number is (850) 243-2229.

What is Juliette Russo's specialty?

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

Is Juliette Russo enrolled in Medicare?

Yes. Juliette Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juliette Russo was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.