MR. DALE EVERETTE RUSSELL (PA-C) – Physician Assistant, NPI 1184890519

MR. DALE EVERETTE RUSSELL (PA-C) is a healthcare provider. based in Ann arbor, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601002145 (MI). The NPI Number for MR. DALE EVERETTE RUSSELL (PA-C) is 1184890519

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. DALE EVERETTE RUSSELL (PA-C)
NPI
1184890519
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR STE J2000
Enumeration Date
6 May 2008
Last Update Date
14 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5179136711
Graduation Year
1992 (34 years ago)
PAC ID
3779574868
Group Practice PAC ID
0648277830
Professional Enrollment ID
I20040519000017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DALE EVERETTE RUSSELL (PA-C)

  • 24 FRANK LLOYD WRIGHT DR STE J2000

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Type: Mailing

  • Whitehall Drive, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    ANN ARBOR, MI 481059694

    Phone: (734) 995-0308

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 48105)

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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: 0648277830View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Family PracticeMI
Physician AssistantMI
Physician AssistantOH
Emergency MedicineMI
Nurse PractitionerMI
Family PracticeMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Does MR. DALE EVERETTE RUSSELL (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DALE EVERETTE RUSSELL (PA-C) uses 1184890519.
Is MR. DALE EVERETTE RUSSELL (PA-C) still practicing?
MR. DALE EVERETTE RUSSELL (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MR. DALE EVERETTE RUSSELL (PA-C) hold?
Scheduling teams often label MR. DALE EVERETTE RUSSELL (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. DALE EVERETTE RUSSELL (PA-C) list a practice location?
Patients near Ann Arbor, Michigan may find MR. DALE EVERETTE RUSSELL (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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