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

Jeanne Russo, PA-C

Individual provider Physician Assistant · NPI 1518418318

Jeanne Russo, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
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

725 Albany St Ste 3B Shapiro Bldg
Boston, MA 02118-2308
Phone: (176) 414-4861
Fax: (617) 414-3617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5910 (MA)

Record details

NPI number1518418318
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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