Doctor profile · Federal record

Dr. Jacquelyn Russell, PA

Physician Assistant · Physician Assistant · Physician Assistant · Iliamna, AK

  • NPI 1639156268
  • Accepts Medicare
  • MIPS 78.2 / 100 · 2023
  • 29 yrs in practice
  • Licensed in 3 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
101 Airport Way
Iliamna, AK 99606
(907) 571-1818
Mailing address
31 Embretson Road
Iliamna, AK 99606

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
September 6, 2024
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (3)
Alaska #PADA481 · Illinois #085.004670 · New York #023071
Medicaid
NY #1639156268

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639156268. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
21
Distinct HCPCS
1
Medicare allowed
$2,040
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 21 13 $97

In context: peer comparison

Among 2 peers in this city , average services per provider: 21. This provider delivers 1.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
11
Patients
0
Total drug cost
$37
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 11 0 $37

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacquelyn Russell's medical specialty?
Dr. Jacquelyn Russell practices Physician Assistant in Iliamna, AK.
Where does Dr. Jacquelyn Russell practice?
Dr. Jacquelyn Russell practices at 101 Airport Way, Iliamna, AK 99606. Office phone: 9075711818.
What is Dr. Jacquelyn Russell's NPI?
Dr. Jacquelyn Russell's National Provider Identifier (NPI) is 1639156268, issued by NPPES.
Does Dr. Jacquelyn Russell accept Medicare assignment?
Yes. Dr. Jacquelyn Russell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacquelyn Russell commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.