RENO MORELLY RUSSELL (PA-C) – Physician Assistant, NPI 1124348404
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,322 PHYSICIAN ASSISTANT in NC
Provider Addresses for RENO MORELLY RUSSELL (PA-C)
PO BOX 5105
BELFAST, ME 049155100
Phone: (919) 220-5255
Type: Mailing
11550 COMMON OAKS DR STE 100
RALEIGH, NC 276148093
Phone: (919) 453-5740
Fax: (919) 453-5741
Type: Location
1 SEAGATE STE 800
TOLEDO, OH 436041558
Phone: (567) 585-1969
Fax: (419) 824-7359
Type: Mailing
3316 NAVARRE AVE STE F
OREGON, OH 436163301
Phone: (419) 291-1420
Fax: (419) 214-3841
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210827002971 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 39 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 26 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 04915)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Family Practice | NC | |
| Physician Assistant | NC | |
| N E U R O S U R G E R Y | MS | |
| Physician Assistant | NC | |
| Internal Medicine | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| N E U R O L O G Y | NC | |
| Orthopedic Surgery | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.