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

Jonathan Michael Russell, PA-C

Individual provider Physician Assistant · NPI 1174922447

Jonathan Michael Russell, PA-C is a Physician Assistant in Big Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Mecosta County Medical Center, a 53-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

705 Oak St Unit 11
Big Rapids, MI 49307-3108
Phone: (231) 592-1002
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007115 (MI)

Record details

NPI number1174922447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2014
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mecosta County Medical Center — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Big Rapids