NPIMap

Individual provider Active NPI

Paris Gilbert Russ Kenzo Aaron

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1871079111
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
735782 Issued in CA
Practice address
4241 Florin Rd
Sacramento, CA 95823-2535
Phone
(916) 469-4690
NPI assigned
Jul 18, 2018
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9283795 FL
Family Nurse Practitioner 363LF0000X 735782 CA Primary

Addresses

Primary practice location

4241 Florin Rd
Sacramento, CA 95823-2535

Mailing address

12619 Ashley Melisse Blvd
Jacksonville, FL 32225-5772
Phone (904) 705-7208

Other practice location 1

12619 Ashley Melisse Blvd
Jacksonville, FL 32225-5772
Phone (904) 705-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191112002344 FL Practitioner - Nurse Practitioner 3173955135 Reassigns benefits to 3 organizations
I20220912000688 OR Practitioner - Nurse Practitioner 3173955135 Reassigns benefits to 2 organizations
I20241231001630 CA Practitioner - Nurse Practitioner 3173955135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
735782CAMDFamily Nurse Practitioner
ARNP9283795FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Sep 13, 2022 Accepting new patients
Mid-Columbia Medical Center Family Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 6, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
United Indian Health Services, Inc. Current Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 1, 2021 Accepting new patients
United Indian Health Services, Inc. CurrentSince Oct 18, 2024 Accepting new patients
United Indian Health Services, Inc. CurrentSince Oct 18, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 6, 2020 Accepting new patients
R K Vishen MD P a CurrentSince May 14, 2019 Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

1675 Northcrest Dr
Crescent City, CA 95531
Phone (707) 464-2750

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

2377 Dunn Ave
Jacksonville, FL 32218
Phone (904) 633-0700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

165 Wells Rd
Ste 404
Orange Park, FL 32073
Phone (904) 264-3111

76011 William Burgess Blvd
Yulee, FL 32097
Phone (352) 273-5801

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1810 E 19th St
Ste 209
The Dalles, OR 97058
Phone (541) 296-5657

Interoperability endpoints

  • Direct secure messaging: paaron813474@direct.ochin.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1871079111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 ASHLEY MELISSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255772",
            "telephone_number": "904-705-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-469-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12619 Ashley Melisse Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322255772",
            "country_code": "US",
            "telephone_number": "904-705-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AARON",
        "first_name": "PARIS GILBERT RUSS",
        "middle_name": "KENZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9283795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "735782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.