STEPHANIE RUSSELL (P.A.) – Medical Physician Assistant, NPI 1235199118
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for STEPHANIE RUSSELL (P.A.)
9001 S 101st East Ave Ste 350
Tulsa, OK 741335798
Phone: (918) 293-6200
Fax: (918) 293-6245
Type: Location
3805 S DOGWOOD BLVD
BROKEN ARROW, OK 740111769
Phone: (918) 724-4563
Type: Mailing
South Memorial Drive, Tulsa, Tulsa County, Oklahoma, 74133, United States
TULSA, OK 741334331
Phone: (918) 254-6315
Fax: (918) 403-6315
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: 2008-12-03
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 |
|---|---|---|---|---|
| I20081203000752 | I | Physician Assistant | OK | 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 | 213 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 84 | $0 |
| 83036 | Hemoglobin a1c level | 33 | 27 | $0 |
| G0008 | Administration of influenza virus vaccine | 28 | 28 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 25 | 25 | $0 |
Insurance plans in this area (ZIP 74133)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Family Practice | NY | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK | |
| - | OK | |
| Family Practice, General Practice, Emergency Medicine | ND | |
| General Practice | OK | |
| - | OK | |
| Physician Assistant | OK |
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.