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

Jesse David Winslow Russell, PA-C

Individual provider Physician Assistant · NPI 1659040590

Jesse David Winslow Russell, PA-C is a Physician Assistant in Canby, Oregon. Qualified in 2022, 4 years ago. Practices with Praxis Health PC, a 176-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2021
Specialties on file
2
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

1185 S Elm St
Canby, OR 97013-3935
Phone: (503) 723-4660
Fax: (503) 266-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 N Grant St, Canby, OR 97013-3689 — (503) 266-2066

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA203927 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA203927 (OR)

Record details

NPI number1659040590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients159
Services billed 902 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Providence Willamette Falls Medical Center Hospital · Oregon City, OR

Colleagues at Praxis Health PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 176 clinicians in the practice; 12 are shown here.

Other providers in Canby