Adam Russell

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

650 Pacific Cascades Dr
Henderson, NV 89012-5669

Phone

(801) 900-3051

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rocky Mountain Home Health - Utah Home health agency, Woods Cross, UT, CCN 467061
• Specialty Nursing Services Home health agency, Huntsville, UT, CCN 467110
• Castleview Hospital Hospital, Price, UT, CCN 460011
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Health LLC

  dba Senior Health - Physician Services

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1134721228
  Medicare reassignment Care Compare group
• Senior Health Home Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1487531885
  Medicare reassignment NPD
• Rocky Mountain Care - Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Woods Cross, UT
  • NPI 1386224814
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castleview Hospital LLC

  dba Castleview Hospital

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation
• Rmce Utah Home Health and Hospice LLC

  dba Rocky Mountain Home Health - Utah

  • Home Health Agency
  • Woods Cross, UT
  • NPI 1225914138
  Care Compare affiliation
• Specialty Nursing Services

  • Home Health Agency
  • Huntsville, UT
  • NPI 1144223249
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1063247583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PACIFIC CASCADES DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125669",
            "telephone_number": "801-900-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PACIFIC CASCADES DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125669",
            "telephone_number": "801-900-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Ruiz
• Maria Ruiz
• Shannon Kay Ruiz, PHARMD
• Arlene Ruley
• Robert Michael Russ, M.D.
• Essence Russell
• Madison Russell
• Michael D Russell, PT,DPT, CSCS
• Roger Alan Russell, DC
• Sean Russell, OMD

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.