Garrett Michael Russell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060807 Issued in PA

Practice address

1001 E 2ND St
Coudersport, PA 16915-8161

Phone

(814) 274-7474

NPI assigned

May 9, 2019

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles Cole Memorial HospitalGroup PAC ID 3779487475, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Cole Hospital, Coudersport, PA, CCN 391313

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100Reported as group

Quality

75.14

Promoting interoperability

100

Improvement activities

40

Cost

70.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: garrett.russell@upmcdirect.com
• Direct secure messaging: grussell218066@upmc.direct-ci.com

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.

• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Medicare reassignment Care Compare group NPD
• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554
  NPD
• Charles Cole Memorial Hopstial

  • Obstetrics & Gynecology Physician
  • Coudersport, PA
  • NPI 1306875042
  NPD (past)
• Charles Cole Memorial Hospital D/B/a Upmc Cole

  • Dentist
  • Coudersport, PA
  • NPI 1548618853
  NPD (past)

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

• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554

  Hospital

  Care Compare affiliation
• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Care Compare affiliation

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1831754308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GARRETT",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2026-09-21",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA060807",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grussell218066@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Ann Rigas, MD
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01976)
• Robert L. Campbell Aud Inc.
• Jennifer Rosmus, MOT, OTR/L
• Brittanie Rounsville, OTR/L
• Peter C Ryan, DMD
• Erin Irene Schweikart
• Victoria Lynn Seitzinger, PA-C
• Kyra Leigh Sevinsky
• Leo Sillick, PA-C

• Physician Assistant in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.