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

Selena Rose Russo, PA-C

Individual provider Physician Assistant · NPI 1801300694

Selena Rose Russo, PA-C is a Physician Assistant in Aiea, Hawaii. Qualified in 2017, 9 years ago. Practices with Pacific Vascular Associates LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
9
Licensed in
HI
In the registry since
2017
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

99-115 Aiea Heights Dr Ste 276B
Aiea, HI 96701-3924
Phone: (808) 784-3050
Fax: (808) 486-5558
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-1004 (HI)

Record details

NPI number1801300694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 1, 2017
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pacific Vascular Associates Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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