DR. JAEL RUSSELL (AUD) – Audiologist, NPI 1235514365

DR. JAEL RUSSELL (AUD) is a healthcare provider. based in Hyannis, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. The NPI Number for DR. JAEL RUSSELL (AUD) is 1235514365

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAEL RUSSELL (AUD)
NPI
1235514365
Phone
(508) 771-1199
Address
724 Main St Unit G
Enumeration Date
30 July 2015
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889646681
Graduation Year
2015 (11 years ago)
PAC ID
1557882818
Group Practice PAC ID
3678465283
Professional Enrollment ID
I20250304001347
Address ID
CT064577568MI101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

288 QUALIFIED AUDIOLOGIST in MA

Provider Addresses for DR. JAEL RUSSELL (AUD)

  • 724 Main St Unit G

    Hyannis, MA 02601

    Phone: (508) 771-1199

    Fax: (508) 771-1140

    Type: Location

  • 238B TOLLAND TPKE

    MANCHESTER, CT 060425701

    Phone: (860) 643-2719

    Fax: (860) 643-2719

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-03-04

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
I20250304001347IQualified AudiologistCTTBD

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 02601)

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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: 3678465283View full group profile
NameSpecialtyState
Qualified AudiologistMA
-MA
Qualified AudiologistMO
Qualified AudiologistNC
Qualified AudiologistIN
Qualified AudiologistMA
Qualified AudiologistIN
Qualified AudiologistMA
Qualified AudiologistWI
Qualified AudiologistNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JAEL RUSSELL (AUD)?
DR. JAEL RUSSELL (AUD) — NPI 1235514365 — is the standard way to identify this listing.
Is DR. JAEL RUSSELL (AUD) still practicing?
DR. JAEL RUSSELL (AUD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JAEL RUSSELL (AUD)?
For research purposes, treat DR. JAEL RUSSELL (AUD) as Audiologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JAEL RUSSELL (AUD) list a practice location?
Patients near Hyannis, Massachusetts may find DR. JAEL RUSSELL (AUD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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