IndividualActive
Russell Young, PA
NPI 1265407811 · Physician Assistant · Anoka, MN
Provider details
- NPI number
- 1265407811
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
601 Jacob Ln
Anoka, MN 55303
Phone: (763) 587-4400
Fax: (763) 587-4205
Street-level locationGet directions
Mailing address
8100 34th Ave S
Bloomington, MN 55425-1672
Additional practice locations (2)
- 15245 Bluebird St NwAndover, MN 55304-3538Phone: (763) 587-4688Fax: (763) 587-4662
- 1833 2nd AveMail Stop 39300aAnoka, MN 55303-2432Phone: (763) 712-6000Fax: (763) 712-6475
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.