Doctor profile · Federal record

Dr. Beverly Russell, PA

Physician Assistant · Jackson, MI

  • NPI 1568573947
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1111 Teneyck St
Jackson, MI 492012461
(517) 205-8940
fax (517) 205-0108

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
January 4, 2021
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Michigan #5601004024
Medicaid
MI #1568573947

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1568573947. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
244
Distinct HCPCS
3
Medicare allowed
$10,506
HCPCS Description Services Patients Avg allowed
69210 Removal of impacted ear wax 114 93 $27
99213 Established patient office or other outpatient visit, 20-29 minutes 102 78 $54
99203 New patient office or other outpatient visit, 30-44 minutes 28 28 $68

In context: peer comparison

Among 30 peers in Jackson Physician Assistant, average services per provider: 72. This provider delivers 3.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
140
Patients
67
Total drug cost
$4,431
Drug Type Claims Patients Total cost
Fluticasone Propionate Generic 71 41 $903
Ipratropium Bromide Generic 19 12 $844
Ofloxacin Generic 16 14 $426
Azelastine Hcl Generic 12 0 $295
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 11 0 $142
Ciprofloxacin-Dexamethasone (Ciprofloxacin Hcl/Dexameth) Brand 11 0 $1,820

Frequently asked questions

Auto-generated from federal data
What is Dr. Beverly Russell's medical specialty?
Dr. Beverly Russell practices Physician Assistant in Jackson, MI.
Where does Dr. Beverly Russell practice?
Dr. Beverly Russell practices at 1111 Teneyck St, Jackson, MI 492012461. Office phone: 5172058940.
What is Dr. Beverly Russell's NPI?
Dr. Beverly Russell's National Provider Identifier (NPI) is 1568573947, issued by NPPES.
What procedures does Dr. Beverly Russell commonly perform?
Top Medicare-reported procedures in 2023: Removal of impacted ear wax (HCPCS 69210); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.