WENDY RUSSETT (PA-C) – Physician Assistant, NPI 1699963405

WENDY RUSSETT (PA-C) is a healthcare provider. based in Derby, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001987 (CT). The NPI Number for WENDY RUSSETT (PA-C) is 1699963405

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
WENDY RUSSETT (PA-C)
NPI
1699963405
Phone
Not provided
Address
130 DIVISION ST
Enumeration Date
5 October 2007
Last Update Date
5 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
0648367359
Group Practice PAC ID
0547169138
Professional Enrollment ID
I20071027000031
Address ID
CT064570000MI19XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for WENDY RUSSETT (PA-C)

  • Griffin Hospital, 130, Division Street, Derby, New Haven County, Connecticut, 06418-1326, United States

    DERBY, CT 064181326

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Exact Sciences Corporation ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071027000031IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06418)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547169138View full group profile
NameSpecialtyState
Family PracticeCT
Nurse PractitionerMA
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
Clinical PsychologistCT
Nurse PractitionerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What is WENDY RUSSETT (PA-C)'s NPI number?
WENDY RUSSETT (PA-C)'s NPI is 1699963405 — the number used across U.S. healthcare to identify this provider.
Is WENDY RUSSETT (PA-C) still an active registrant?
WENDY RUSSETT (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to WENDY RUSSETT (PA-C)?
WENDY RUSSETT (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WENDY RUSSETT (PA-C)?
Travel planning: use Derby, Connecticut as the reference point for WENDY RUSSETT (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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