Russell Scott Pierce, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006-T2 Issued in WY

Practice address

751 Old Richardson Hwy Ste 200
Fairbanks, AK 99701-7802

Phone

(907) 457-9420

Fax

(907) 457-1098

NPI assigned

Nov 3, 2011

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 AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Star Longevity and Wellness LLCGroup PAC ID 3173863388, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: russell.pierce.1@19690.direct.athenahealth.com

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

• Gold Star Longevity & Wellness LLC

  • Family Medicine Physician
  • Fairbanks, AK
  • NPI 1427532613
  Medicare reassignment Care Compare group Authorized official
• Nick Sarrimanolis, M.D. LLC

  • Internal Medicine Physician
  • Fairbanks, AK
  • NPI 1760665012
  NPD (past)

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

• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  Care Compare affiliation

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1093092116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-457-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-457-9420",
            "fax_number": "907-457-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 E A St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012217",
            "country_code": "US",
            "telephone_number": "307-234-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "006-T2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Phillips
• Phyllis Pendergrast, D.M.D., a.P.C.
• Victor Ramon Pichardo Nunez
• Amanda Piennette
• Jacqueline Suzann Pierce
• Shanelle Pierce
• Pierre M Johnson, MD PC
• Pierre M. Johnson, MD PC
• Nataliya Pinchuk, OTR/L
• Valerie Pingayak

• Family Medicine Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.