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

Noreen Russo, PA

Individual provider Surgical Physician Assistant · NPI 1952508046

Noreen Russo, PA is a Physician Assistant in West End, North Carolina. Qualified in 2005, 21 years ago. Practices with Pinehurst Medical Clinic Inc, a 160-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
21
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4204 Murdocksville Rd
West End, NC 27376-8871
Phone: (910) 255-0055
Fax: (910) 255-0060
Show map & directions

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

Additional practice locations (1)

  • 24 Hospital Ave, Danbury, CT 06810-6099 — (203) 739-7129

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1952508046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESMarch 17, 2018
Mailing address205 Page Rd, Pinehurst, NC 28374-8749

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pinehurst Medical Clinic Inc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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