Active NPI
Tyler William Russell, CRNA
- Anesthesiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 28211638A
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 337854 | AZ | |
| Anesthesiology Physician | 207L00000X | 28211638A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 202206135CRNA | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 28211638A | IN |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
10315 Dawsons Creek Blvd
Fort Wayne, IN 46825-1912
Phone (260) 436-7875
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 577-4200
Other practice location 3
1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trussell239534@samhealth.direct-ci.com | ||
| Direct Messaging Address | trussell@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Kentucky PSC | Anesthesiology | Current | Accepting new patients |
| Jebs Anesthesia Consultants, LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Iu Anesthesiology Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Anesthesiology | Current | Accepting new patients |
| Ams Northern Indiana LLC | Anesthesiology | Current | Accepting new patients |
Locations
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
7747 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 459-8444
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104
1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696
900 I St
Laporte, IN 46350
Phone (219) 324-1670
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
Interoperability endpoints
- trussell@direct.iuhealth.org
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1285684407
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
Anesthesiology
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1447889548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [
{
"address_1": "10315 Dawsons Creek Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251912",
"country_code": "US",
"telephone_number": "260-436-7875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-577-4200",
"fax_number": "317-577-9503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1046 6th Ave SW",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973211916",
"country_code": "US",
"telephone_number": "541-812-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "TYLER",
"middle_name": "WILLIAM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "337854",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "28211638A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "202206135CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28211638A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trussell239534@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "1046 6th Ave SW",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211916",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trussell@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.