Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Lynn Russell, PA

Individual provider Physician Assistant · NPI 1376788588

Amy Lynn Russell, PA is a Physician Assistant in Camillus, New York. Qualified in 2008, 18 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5417 W Genesee St Ste 3
Camillus, NY 13031-2177
Phone: (315) 476-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012926 (NY)

Record details

NPI number1376788588
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2008
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Camillus