Beverly Russell, PA
NPI 1568573947ActiveIndividual· Physician Assistant· Jackson, MI
Physician Assistant (PA) in Jackson, Michigan, licensed in MI, with an NPI issued in August 2006. 131 Medicare patients in 2024, $7,160 paid; nearly all of their 161 Part D prescriptions were generic (99%).
Overview
| NPI | 1568573947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jan 4, 2021 |
| Certified by provider | Dec 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601004024 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 233 across 13 procedure codes |
| Paid by Medicare | $7,160 |
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 213 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $4,039 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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