ALEX J RUSSELL (CRNA) – Anesthesiology Physician, NPI 1780390872

ALEX J RUSSELL (CRNA) is a healthcare provider. based in Corvallis, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 10003648 (OR). The NPI Number for ALEX J RUSSELL (CRNA) is 1780390872

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ALEX J RUSSELL (CRNA)
NPI
1780390872
Phone
Not provided
Address
PO BOX 1189
Enumeration Date
23 January 2023
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414517462
Graduation Year
2022 (4 years ago)
PAC ID
2264804582
Group Practice PAC ID
2769391523
Professional Enrollment ID
I20230215001988
Address ID
OR973554363LE525XXHWYX401

Contacts

Secure Messaging
arussell240512@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for ALEX J RUSSELL (CRNA)

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

  • 1046 6TH AVE SW

    ALBANY, OR 973211916

    Phone: (541) 812-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-05-05 • Largest payer in this snapshot: Stryker Corporation ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$31
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: 2023-02-15

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
I20230215001988ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 97339)

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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: 2769391523View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Hospitalist, Internal MedicineOR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR
P O D I A T R YOR

Reviews

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Frequently asked questions

What number should I use to identify ALEX J RUSSELL (CRNA) for billing?
Administrative and clinical systems typically use NPI 1780390872 for ALEX J RUSSELL (CRNA).
Is ALEX J RUSSELL (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists ALEX J RUSSELL (CRNA) as active.
What type of care does ALEX J RUSSELL (CRNA) provide?
ALEX J RUSSELL (CRNA)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEX J RUSSELL (CRNA)?
ALEX J RUSSELL (CRNA) is associated with Corvallis, Oregon in the same public data insurers reference.
Who maintains ALEX J RUSSELL (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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