Individual provider Active NPI

Wesley Guy Russell, CRNA

  • Certified Registered Nurse Anesthetist
  • Tupelo, MS
National Provider Identifier
1942115118
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
159761 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4996
Phone
(662) 377-3000
NPI assigned
Aug 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 159761 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4996

Mailing address

120 Smitherman Rd
Pontotoc, MS 38863-6939
Phone (662) 308-8058

Other practice location 1

589 Garfield St
Tupelo, MS 38801-6301
Phone (662) 377-4700

Other practice location 2

589 Garfield St
Tupelo, MS 38801-6301
Phone (662) 377-4700

Other practice location 3

4566 S Eason Blvd
Tupelo, MS 38801-6540
Phone (662) 377-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1942115118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SMITHERMAN RD",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388636939",
            "telephone_number": "662-308-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014996",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "589 Garfield St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016301",
            "country_code": "US",
            "telephone_number": "662-377-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "589 Garfield St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016301",
            "country_code": "US",
            "telephone_number": "662-377-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4566 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016540",
            "country_code": "US",
            "telephone_number": "662-377-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WESLEY",
        "middle_name": "GUY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "159761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.