Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Robert Russell, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1417318361

Jacob Robert Russell, DO practises Emergency Medicine in Surprise, Arizona. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Emergency Group of Arizona Professional Corporation, a 98-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
AZ, MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

16815 W Bell Rd
Surprise, AZ 85374-2101
Phone: (602) 833-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2300
  • 620 Skyline Dr, Jackson, TN 38301 — (731) 541-5000
  • 294 Summar Dr, Jackson, TN 38301-3915 — (731) 265-8220

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 008645 (AZ)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 3749 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417318361
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2016
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Emergency Group Of Arizona Professional Corporation — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients337
Services billed 432 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Abrazo Arrowhead Hospital Hospital · Glendale, AZ

Colleagues at Emergency Group of Arizona Professional Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 98 clinicians in the practice; 12 are shown here.