MISS DANIELLE MARIE RUSSO (PA-C) – Physician Assistant, NPI 1700161312

MISS DANIELLE MARIE RUSSO (PA-C) is a healthcare provider. based in Sault sainte marie, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601006193 (MI). The NPI Number for MISS DANIELLE MARIE RUSSO (PA-C) is 1700161312

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS DANIELLE MARIE RUSSO (PA-C)
NPI
1700161312
Phone
(906) 635-4460
Address
550 OSBORN BLVD
Enumeration Date
14 October 2011
Last Update Date
6 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
3971769761
Group Practice PAC ID
7315936481
Professional Enrollment ID
I20120723000934
Address ID
MI497831822SA500XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MISS DANIELLE MARIE RUSSO (PA-C)

  • 550 OSBORN BLVD

    SAULT SAINTE MARIE, MI 497831899

    Phone: (906) 635-4460

    Type: Mailing

  • 558 ASHMUN ST

    SAULT SAINTE MARIE, MI 497834001

    Phone: (906) 635-9090

    Fax: (906) 635-9091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Medtronic, Inc. ($109).

Total Amount

$230

General + Research + Ownership

Payments

9

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-07-23

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
I20120723000934IPhysician AssistantMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12197$0
99215Established patient office or other outpatient visit, 40-54 minutes4137$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2012$0
View full utilization report →

Insurance plans in this area (ZIP 49783)

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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: 7315936481View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantMI
Physician AssistantMI
D E R M A T O L O G YMI
Pain ManagementIL
-MI
E N D O C R I N O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI
-MI

Reviews

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Frequently asked questions

What identifier follows MISS DANIELLE MARIE RUSSO (PA-C) across health systems?
The NPI 1700161312 uniquely identifies MISS DANIELLE MARIE RUSSO (PA-C) in U.S. healthcare data.
Quick check: is MISS DANIELLE MARIE RUSSO (PA-C) active?
Public NPPES data shows MISS DANIELLE MARIE RUSSO (PA-C) with an active NPI status right now.
What services align with MISS DANIELLE MARIE RUSSO (PA-C)'s listing?
MISS DANIELLE MARIE RUSSO (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MISS DANIELLE MARIE RUSSO (PA-C)?
MISS DANIELLE MARIE RUSSO (PA-C) is associated with Sault Sainte Marie, Michigan in the same public data insurers reference.
Can I export MISS DANIELLE MARIE RUSSO (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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