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

Jared T Russell

Individual provider Certified Registered Nurse Anesthetist · NPI 1992503718

Jared T Russell is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2025, 1 year ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
1
Licensed in
WV
In the registry since
2025
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Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1220 Lee St E, Charleston, WV 25301-1863 — (304) 388-1800
  • 1306 Kanawha Blvd E, Charleston, WV 25301-3001 — (304) 343-4371
  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432
  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 — (304) 388-5432

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 123379 (WV)

Record details

NPI number1992503718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 6, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston