Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lily Marie Russell, PA-C

Individual provider Physician Assistant · NPI 1598543621

Lily Marie Russell, PA-C is a Physician Assistant in Augusta, Maine. Qualified in 2024, 2 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2023
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

15 Enterprise Dr
Augusta, ME 04330-7997
Phone: (207) 621-8880
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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 PA2691 (ME)

Record details

NPI number1598543621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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