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

Mr. Jacob Troy Russell, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1972056588

Mr. Jacob Troy Russell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Payson, Arizona. Qualified in 2016, 10 years ago. Practices with Sleepy Plains Anesthesia LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

807 S Ponderosa St
Payson, AZ 85541-5542
Phone: (928) 472-1273
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA1226 (AZ)

Record details

NPI number1972056588
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 31, 2016
Last updated in NPPESJuly 31, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sleepy Plains Anesthesia Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Payson