Doctor profile · Federal record
Dr. Russell Wardlaw, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Jackson, MS
- NPI 1245466168
- Accepts Medicare
- MIPS 67.1 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 N State St
Jackson, MS 392164500
(601) 984-5900 - Mailing address
-
2500 North State St
Jackson, MS 39216
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- December 15, 2010
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Mississippi #R860211
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245466168. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mindray Ds USA, INC. | 1 | $19.22 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Russell Wardlaw's medical specialty?
Dr. Russell Wardlaw practices Certified Registered Nurse Anesthetist in Jackson, MS.
Where does Dr. Russell Wardlaw practice?
Dr. Russell Wardlaw practices at 2500 N State St, Jackson, MS 392164500. Office phone: 6019845900.
What is Dr. Russell Wardlaw's NPI?
Dr. Russell Wardlaw's National Provider Identifier (NPI) is 1245466168, issued by NPPES.
Does Dr. Russell Wardlaw accept Medicare assignment?
Yes. Dr. Russell Wardlaw accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.