EMILY GRACE BOND RUSSELL (PA-C) – Physician Assistant, NPI 1154971174
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for EMILY GRACE BOND RUSSELL (PA-C)
West Jefferson Street, Downtown, Boise, Ada County, Idaho, 83720, United States
BOISE, ID 837024714
Phone: (765) 414-2656
Type: Mailing
2327, Southwest 4th Avenue, Ontario, Malheur County, Oregon, 97914, United States
ONTARIO, OR 979141851
Phone: (541) 889-2340
Type: Location
777 N RAYMOND ST
BOISE, ID 837049251
Phone: (208) 514-2500
Fax: (208) 375-2217
Type: Mailing
9850 W ST LUKES DR # 329
NAMPA, ID 836877912
Phone: (208) 514-2509
Fax: (208) 375-2217
Type: Location
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $14 |
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: 2023-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191213001365 | I | Physician Assistant | OR | TBD |
| I20231002002652 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 17 | 17 | $0 |
Insurance plans in this area (ZIP 83702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospitalist | ID | |
| Family Practice | ID | |
| - | ID | |
| - | ID | |
| - | CA | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Registered Dietitian Or Nutrition Professional | CA |
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