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

Emily Grace Bond Russell, PA-C

Individual provider Physician Assistant · NPI 1154971174

Emily Grace Bond Russell, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2019, 7 years ago. Practices with Full Circle Health Inc, a 109-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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

9850 W St Lukes Dr # 329
Nampa, ID 83687-7912
Phone: (208) 514-2509
Fax: (208) 375-2217
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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 PA-2563 (ID)

Record details

NPI number1154971174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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