MRS. CAROL D RUSSELL (PA-C) – Medical Physician Assistant, NPI 1336134865

MRS. CAROL D RUSSELL (PA-C) is a healthcare provider. based in W melbourne, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA2709 (FL). The NPI Number for MRS. CAROL D RUSSELL (PA-C) is 1336134865

Main info

Female
Name
MRS. CAROL D RUSSELL (PA-C)
NPI
1336134865
Phone
(321) 726-6331
Address
1541 S WICKHAM RD
Enumeration Date
12 September 2005
Last Update Date
26 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MRS. CAROL D RUSSELL (PA-C)

  • 1541, South Wickham Road, West Melbourne, Brevard County, Florida, 32904, United States

    W MELBOURNE, FL 329043540

    Phone: (321) 726-6331

    Fax: (321) 726-6371

    Type: Mailing

  • 2555 JUDGE FRAN JAMIESON WAY

    VIERA, FL 329405998

    Phone: (321) 639-5813

    Fax: (321) 637-7312

    Type: Mailing

  • SPACE COAST VOLUNTEERS IN MEDICINE

    2555 JUDGE FRAN JAMIESON WAY

    VIERA, FL 32940

    Phone: (321) 639-5813

    Fax: (321) 637-7312

    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 $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Novo Nordisk Inc ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$124
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32904)

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Reviews

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Frequently asked questions

What NPI should I save for MRS. CAROL D RUSSELL (PA-C)?
Save NPI 1336134865 if you need a stable reference for MRS. CAROL D RUSSELL (PA-C).
Does this profile mean MRS. CAROL D RUSSELL (PA-C) is currently active?
Yes — MRS. CAROL D RUSSELL (PA-C) appears active in the national provider directory.
What kind of provider is MRS. CAROL D RUSSELL (PA-C)?
The page reflects Medical Physician Assistant for MRS. CAROL D RUSSELL (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MRS. CAROL D RUSSELL (PA-C)?
We surface W Melbourne, Florida for MRS. CAROL D RUSSELL (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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