MRS. JILL R RUSSELL (D.O.) – Family Medicine Physician, NPI 1417026659

MRS. JILL R RUSSELL (D.O.) is a healthcare provider. based in Hillsboro, Oregon. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. DO17341 (OR). The NPI Number for MRS. JILL R RUSSELL (D.O.) is 1417026659

Main info

Female
38 Years Of Experience
Name
MRS. JILL R RUSSELL (D.O.)
NPI
1417026659
Phone
(503) 681-4223
Address
7545 SE TUALATIN VALLEY HWY
Enumeration Date
6 November 2006
Last Update Date
14 April 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5036205556
Graduation Year
1988 (38 years ago)
PAC ID
2769470103
Group Practice PAC ID
2860487279
Professional Enrollment ID
I20040504001231
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. JILL R RUSSELL (D.O.)

  • Southeast Tualatin Valley Highway, Reed's Crossing, South Hillsboro, Hillsboro, Washington County, Oregon, 97003, United States

    HILLSBORO, OR 971238252

    Phone: (503) 681-4223

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $332.

Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABIOMED ($197).

Total Amount

$332

General + Research + Ownership

Payments

15

Total payment records

General Amount

$332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-05-04

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
I20040504001231IFamily PracticeORTBD

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 97123)

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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: 2860487279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeUT
Physician AssistantOR
-OR
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Physical Therapist In Private PracticeTX
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. JILL R RUSSELL (D.O.)'s NPI?
Yes. MRS. JILL R RUSSELL (D.O.) is listed with NPI 1417026659 in the public NPI dataset.
Can I rely on MRS. JILL R RUSSELL (D.O.) being an active provider?
As of the registry snapshot, MRS. JILL R RUSSELL (D.O.) is marked active.
What healthcare role does MRS. JILL R RUSSELL (D.O.) hold?
Scheduling teams often label MRS. JILL R RUSSELL (D.O.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MRS. JILL R RUSSELL (D.O.) list a practice location?
Patients near Hillsboro, Oregon may find MRS. JILL R RUSSELL (D.O.) in results; validate coverage separately.
Is the information about MRS. JILL R RUSSELL (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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