Eddie Russell, CRNA
NPI 1154563336 · Certified Registered Nurse Anesthetist · Philadelphia, PA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eddie Russell, CRNA is a Certified Registered Nurse Anesthetist provider in Philadelphia, PA (NPI 1154563336).
Provider details
- NPI number
- 1154563336
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 26NR08427000 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2015-09-30
Frequently asked questions
- What is Eddie Russell's NPI number?
- Eddie Russell's National Provider Identifier (NPI) is 1154563336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eddie Russell's specialty?
- Eddie Russell is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Eddie Russell located?
- Eddie Russell's practice location on file with NPPES is 111 S 11th St, Philadelphia, PA 19107-4824.
- What is Eddie Russell's phone number?
- The practice phone number listed in the NPPES registry for Eddie Russell is (215) 955-6161.
- Does Eddie Russell accept Medicare?
- Eddie Russell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eddie Russell's NPI active?
- Yes — Eddie Russell's NPI (1154563336) is active in the NPPES registry as of the last update on 2015-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.