Active NPI
Rachel Ann Russ, P.A.-C
- Surgical Physician Assistant
- Natick, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA5737
- Practice address
- 67 Union St
Natick, MA 01760-7700 - Phone
- (508) 532-6626
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA5737 | MA | Primary |
| Surgical Physician Assistant | 363AS0400X | 25MP00263600 | NJ |
Addresses
Primary practice location
67 Union St
Natick, MA 01760-7700
Mailing address
2 Woodview Way
Unit B32
Hopkinton, MA 01748-2849
Phone (440) 666-3404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5737 | MA | MD | Surgical Physician Assistant |
| 25MP00263600 | NJ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients | |
| University Hospitals Medical Group Inc | Past | Accepting new patients | |
| Valley Physician Services, Inc. | Past | Accepting new patients |
Locations
7500 Auburn Rd
Ste 1500
Concord Township, OH 44077
Phone (440) 358-5480
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- rruss28089@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
dba Uhmp
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
dba Center for Orthopedics
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
-
dba Valley Medical Group
- General Practice Physician
- Ridgewood, NJ
- NPI 1154470870
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Hospitals Portage Medical Center
- General Acute Care Hospital
- Ravenna, OH
- NPI 1043641897
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1336426634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WOODVIEW WAY",
"address_2": "UNIT B32",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017482849",
"telephone_number": "440-666-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-532-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "RACHEL",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA5737",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00263600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.