Individual provider Active NPI

Russell W Morrill, PA-C

  • Surgical Physician Assistant
  • Elko, NV
National Provider Identifier
1609941194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAC0126 Issued in NV
Practice address
1775 Browning Way
Suite 201
Elko, NV 89801-8335
Phone
(775) 777-3535
Fax
(775) 777-3559
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAC0126 NV Primary

Addresses

Primary practice location

1775 Browning Way
Suite 201
Elko, NV 89801-8335

Mailing address

1775 Browning Way
Suite 201
Elko, NV 89801-8335
Phone (775) 777-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20050427000633 NV Practitioner - Physician Assistant 7911946199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Nevada Physician Practices LLCGroup PAC ID 3779649223, 20 clinicians

Practice addresses (Care Compare)

1775 Browning Way
Suite 201
Elko, NV 89801-8340
Phone (775) 777-3535

1995 Errecart Blvd
Elko, NV 89801-8337

2001 Errecart Blvd
Elko, NV 89801-8333
Phone (775) 738-8660

Hospital & facility affiliations

  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Nevada Physician Practices LLC CurrentSince Jan 4, 2016 Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

1775 Browning Way
Ste 201
Elko, NV 89801
Phone (775) 777-3535

Interoperability endpoints

  • Direct secure messaging: russell.morrill.1@20237.direct.athenahealth.com
  • Direct secure messaging: req8354@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609941194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY",
            "address_2": "SUITE 201",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018335",
            "telephone_number": "775-777-3535",
            "fax_number": "775-777-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY",
            "address_2": "SUITE 201",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018335",
            "telephone_number": "775-777-3535",
            "fax_number": "775-777-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PAC0126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.