JENNA ELIZABETH RUSSO – Certified Registered Nurse Anesthetist, NPI 1073109674

JENNA ELIZABETH RUSSO is a healthcare provider. based in Brecksville, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 418256 (OH). The NPI Number for JENNA ELIZABETH RUSSO is 1073109674

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNA ELIZABETH RUSSO
NPI
1073109674
Phone
(440) 785-0584
Address
9775 WHITEWOOD RD
Enumeration Date
17 December 2020
Last Update Date
23 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164446116
Graduation Year
2021 (5 years ago)
PAC ID
6103232749
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20210308000340
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for JENNA ELIZABETH RUSSO

  • 9775 WHITEWOOD RD

    BRECKSVILLE, OH 441411672

    Phone: (440) 785-0584

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-08

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
I20210308000340ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00537Anesthesia for procedure to assess heart electrical activity2828$0
View full utilization report →

Insurance plans in this area (ZIP 44141)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to JENNA ELIZABETH RUSSO?
The federal identifier for JENNA ELIZABETH RUSSO is NPI 1073109674.
Is JENNA ELIZABETH RUSSO's NPI currently valid?
The extract we use shows JENNA ELIZABETH RUSSO as active.
What does JENNA ELIZABETH RUSSO treat or focus on?
Patients typically see JENNA ELIZABETH RUSSO under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JENNA ELIZABETH RUSSO's primary listing?
We display Brecksville, Ohio because that is what the record indicates for JENNA ELIZABETH RUSSO.
How can I contact JENNA ELIZABETH RUSSO?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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