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

Individual provider Physician Assistant · NPI 1013756352

Rylie Russ, PA-C is a Physician Assistant in Troy, Michigan. Graduated from University of Michigan Medical School in 2024, 2 years ago. Practices with Jagannathan Neurosurgical Institute PLLC, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Michigan Medical School
In the registry since
2024
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

3290 W Big Beaver Rd Ste 150
Troy, MI 48084-2931
Phone: (248) 792-6257
Fax: (248) 792-9106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013756352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address3290 W Big Beaver Rd Ste 150, Troy, MI 48084-2931

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Group practice Jagannathan Neurosurgical Institute Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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