ANNETTE M RUSSELL (PA-C) – Medical Physician Assistant, NPI 1861439838

ANNETTE M RUSSELL (PA-C) is a healthcare provider. based in Casper, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 205 (WY). The NPI Number for ANNETTE M RUSSELL (PA-C) is 1861439838

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ANNETTE M RUSSELL (PA-C)
NPI
1861439838
Phone
(307) 266-3174
Address
1230 E 1ST ST
Enumeration Date
31 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
2062642952
Group Practice PAC ID
5092978866
Professional Enrollment ID
I20140219001689
Address ID
WY826012951CA419XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PHYSICIAN ASSISTANT in WY

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Provider Addresses for ANNETTE M RUSSELL (PA-C)

  • East 1st Street, Casper, Natrona County, Wyoming, 82601, United States

    CASPER, WY 826012704

    Phone: (307) 266-3174

    Fax: (307) 261-6713

    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)

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: 2014-02-19

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
I20140219001689IPhysician AssistantWYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes302216$0
99214Established patient office or other outpatient visit, 30-39 minutes223150$0
99215Established patient office or other outpatient visit, 40-54 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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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: 5092978866View full group profile
NameSpecialtyState
Nurse PractitionerCO
General SurgeryWY
Cardiac Surgery, Thoracic SurgeryVA
U R O L O G YNY
Family PracticeWY
Internal MedicineCO
Nurse PractitionerTN
Family PracticeWY
Emergency MedicineCO
Nurse PractitionerWY

Reviews

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Frequently asked questions

What identifier follows ANNETTE M RUSSELL (PA-C) across health systems?
The NPI 1861439838 uniquely identifies ANNETTE M RUSSELL (PA-C) in U.S. healthcare data.
Is ANNETTE M RUSSELL (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ANNETTE M RUSSELL (PA-C) as active.
What services align with ANNETTE M RUSSELL (PA-C)'s listing?
ANNETTE M RUSSELL (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANNETTE M RUSSELL (PA-C)?
ANNETTE M RUSSELL (PA-C) is associated with Casper, Wyoming in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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