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

Individual provider Physician Assistant · NPI 1942645411

Russell John Kinsey, PA-C is a Physician Assistant in Anna, Illinois. Qualified in 2012, 14 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2013
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

517 N Main St
Anna, IL 62906-1668
Phone: (618) 833-4511
Fax: (618) 833-4183
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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 085.004652 (IL)

Record details

NPI number1942645411
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 9, 2013
Last updated in NPPESMay 9, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy East Ambulatory Services Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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