AMY R RUSSELL (PA-C) – Physician Assistant, NPI 1467404020

AMY R RUSSELL (PA-C) is a healthcare provider. based in Maryville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 908 (TN). The NPI Number for AMY R RUSSELL (PA-C) is 1467404020

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
AMY R RUSSELL (PA-C)
NPI
1467404020
Phone
(865) 273-1752
Address
103 W BROADWAY AVE
Enumeration Date
16 May 2006
Last Update Date
12 June 2020

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8659805100
Graduation Year
2001 (25 years ago)
PAC ID
4183708548
Group Practice PAC ID
6406844174
Professional Enrollment ID
I20080222000564
Address ID
TN378045807MA463XXPHYS301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for AMY R RUSSELL (PA-C)

  • Blount Memorial Hospital Financial Operations Center, 101-103, West Broadway Avenue, Maryville, Blount County, Tennessee, 37801, United States

    MARYVILLE, TN 378014703

    Phone: (865) 273-1752

    Fax: (865) 273-1755

    Type: Mailing

  • 266, Joule Street, Bassel Addition, Alcoa, Blount County, Tennessee, 37701, United States

    ALCOA, TN 377012422

    Phone: (865) 984-3864

    Fax: (865) 380-4095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Nevro Corp. ($54).

Total Amount

$133

General + Research + Ownership

Payments

5

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2008-02-22

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
I20080222000564IPhysician AssistantTNTBD

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 minutes656330$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
99441Telephone medical discussion with physician, 5-10 minutes1816$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 37801)

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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: 6406844174View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
-TN
-TN
Certified Registered Nurse Anesthetist (Crna)SC
General Surgery, Vascular SurgerySC
-TN
N E U R O L O G YCA
Physician AssistantSC
Nurse PractitionerTN

Reviews

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Frequently asked questions

What NPI should I save for AMY R RUSSELL (PA-C)?
Save NPI 1467404020 if you need a stable reference for AMY R RUSSELL (PA-C).
Is AMY R RUSSELL (PA-C)'s NPI currently valid?
The extract we use shows AMY R RUSSELL (PA-C) as active.
What does AMY R RUSSELL (PA-C) treat or focus on?
Patients typically see AMY R RUSSELL (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place AMY R RUSSELL (PA-C)?
The snapshot lists Maryville, Tennessee for AMY R RUSSELL (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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