Jacquelyn Russell, PA

InactiveIndividual ProviderPhysician Assistant
NPI issued: December 23, 2005

Quick Facts

NPI Number
1639156268
TypeIndividual
StatusInactive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(907) 571-1818
StateAK

NPI Validation Status: Deactivated

Valid 10-digit NPI number (1639156268)
Active status: Deactivated / Inactive
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 23, 2005)
Data source: CMS NPPES

Provider Overview

JACQUELYN RUSSELL, PA is a Physician Assistant provider based in Iliamna, AK who has been registered with CMS since 2005. They are affiliated with Pophealthcare, Llc. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1639156268
Provider TypeIndividual Provider
GenderFemale
CredentialPA
StatusInactive
Enumeration DateDecember 23, 2005

Practice Location

CityIliamna
StateAK
ZIP Code99606
Phone(907) 571-1818

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateAK

Mailing Address

CityIliamna
StateAK
ZIP Code99606
Phone(907) 571-1818
Same as practice location

Hospital & Organization Affiliations

🏢

Pophealthcare, Llc

📍 Copenhagen, NY

Hospital NPIY

How to Use This NPI

📋

For Insurance Billing

Use NPI 1639156268 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639156268for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639156268 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

Similar Providers in Iliamna

Anne Dailey, PA

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Suzanne Milette, PA-C

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Ruth Alvarez, PA-C

📍 Iliamna, AK 99606-9800

Sherry Nelson, PA-C

📍 Iliamna, AK 99606-9800

Other Healthcare Providers in Iliamna

Southcentral Foundation

Specialty not listed

Cautrese Alexander, LPC, MS, LMHC, CAP

Professional Counselor

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Jacqueline Jensen

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People Also Ask

What is Jacquelyn Russell's NPI number?
Jacquelyn Russell's NPI number is 1639156268, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacquelyn Russell's NPI currently active?
No, Jacquelyn Russell's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Jacquelyn Russell specialize in?
Jacquelyn Russell specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Jacquelyn Russell practice?
Jacquelyn Russell practices in Iliamna, AK 99606.
When was Jacquelyn Russell's NPI issued?
Jacquelyn Russell's NPI was issued on December 23, 2005.
What is Jacquelyn Russell's provider type?
Jacquelyn Russell is registered as an Individual Provider under CMS NPI Type 1.