Doctor profile · Federal record
Dr. Jacob Russell, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Payson, AZ
- NPI 1972056588
- Accepts Medicare
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
807 S Ponderosa St
Payson, AZ 855415542
(928) 472-1273 - Mailing address
-
823 W Sierra Cir
Payson, AZ 855416602
Credentials & registration
- NPI registered
- July 2016 — 10 yrs on file
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Arizona #CRNA1226
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972056588. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
86
Distinct HCPCS
5
Medicare allowed
$11,521
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 21 | $132 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 22 | 22 | $159 | |
00142 |
Anesthesia for lens surgery | 14 | 14 | $109 | |
01940 |
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 14 | 14 | $123 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $133 |
In context: peer comparison
Among 3 peers in Payson Certified Registered Nurse Anesthetist, average services per provider: 41. This provider delivers 2.1× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jacob Russell's medical specialty?
Dr. Jacob Russell practices Certified Registered Nurse Anesthetist in Payson, AZ.
Where does Dr. Jacob Russell practice?
Dr. Jacob Russell practices at 807 S Ponderosa St, Payson, AZ 855415542. Office phone: 9284721273.
What is Dr. Jacob Russell's NPI?
Dr. Jacob Russell's National Provider Identifier (NPI) is 1972056588, issued by NPPES.
Does Dr. Jacob Russell accept Medicare assignment?
Yes. Dr. Jacob Russell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Russell commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813); Anesthesia for lens surgery (HCPCS 00142). Source: CMS Medicare Physician & Other Practitioners file.