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

Annalise Russo, PA-C

Individual provider Physician Assistant · NPI 1558034322

Annalise Russo, PA-C is a Physician Assistant in Jefferson, Louisiana. Qualified in 2021, 5 years ago. Practices with Belle Chasse Physician Services LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone: (866) 624-7637
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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 328185 (LA)

Record details

NPI number1558034322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Belle Chasse Physician Services Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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