SELENA ROSE RUSSO (PA-C) – Physician Assistant, NPI 1801300694
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
359 PHYSICIAN ASSISTANT in HI
Provider Addresses for SELENA ROSE RUSSO (PA-C)
99-115 AIEA HEIGHTS DR STE 276B
AIEA, HI 967013924
Phone: (718) 249-5360
Type: Mailing
360, Barlow Avenue, Great Kills, Staten Island, New York, 10308, United States
APT 32 A
STATEN ISLAND, NY 10308
Phone: (718) 249-5360
Type: Mailing
Richmond University Medical Center, 355, Bard Avenue, Sunset Hill, Staten Island, New York, 10310, United States
STATEN ISLAND, NY 103101664
Phone: (718) 818-1234
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($55).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $55 |
| Surmodics, Inc. | $23 |
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: 2021-08-24
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210824001693 | I | Physician Assistant | HI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 96701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | MD | |
| Vascular Surgery | MD | |
| Vascular Surgery | HI | |
| Internal Medicine, Hospitalist | NY | |
| Nurse Practitioner | HI | |
| Physician Assistant | TX | |
| General Surgery, Family Practice | FL | |
| Physician Assistant | HI | |
| Physician Assistant | HI | |
| Nurse Practitioner | CA |
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