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

Anna Russo

Individual provider Medical Physician Assistant · NPI 1184000978

Anna Russo is a Physician Assistant in Waterbury, Connecticut. Qualified in 2015, 11 years ago. Practices with Riverbend Medical Group Inc, a 224-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1253
Phone: (203) 709-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 Wright Street, Palmer, MA 01069 — (413) 284-5308

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA5541 (MA)

Record details

NPI number1184000978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Riverbend Medical Group Inc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Waterbury