Organization Active NPI

J Russ Surgical Assist Services LLC

  • Registered Nurse First Assistant
  • Colorado Springs, CO
National Provider Identifier
1235075458
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
J RUSS SURGICAL ASSIST SERVICES LLC
Practice address
6045 Pemberton Way
Colorado Springs, CO 80919-2459
Phone
(303) 503-8783
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Jennifer I Russ, RNNPI 1922944156
Title
Rnfa
Phone
(303) 503-8783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

6045 Pemberton Way
Colorado Springs, CO 80919-2459

Mailing address

6045 Pemberton Way
Colorado Springs, CO 80919-2459
Phone (303) 503-8783

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1235075458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 PEMBERTON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192459",
            "telephone_number": "303-503-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 PEMBERTON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192459",
            "telephone_number": "303-503-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RUSS SURGICAL ASSIST SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "303-503-8783",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.