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

Annette M Russell, PA-C

Individual provider Medical Physician Assistant · NPI 1861439838

Annette M Russell, PA-C is a Physician Assistant in Casper, Wyoming. Qualified in 1998, 28 years ago. Practices with Banner Health Physicians West LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
28
Licensed in
WY
In the registry since
2006
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

1230 E 1st St
Casper, WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 261-6713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 205 (WY)

Record details

NPI number1861439838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Banner Health Physicians West Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Casper