Russell Walters, PA-C
NPI 1952724403 · Physician Assistant · Jefferson City, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Walters, PA-C is a Physician Assistant provider in Jefferson City, TN (NPI 1952724403).
Provider details
- NPI number
- 1952724403
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2014-02-03
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Russell Walters's NPI number?
- Russell Walters's National Provider Identifier (NPI) is 1952724403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Walters's specialty?
- Russell Walters is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Russell Walters located?
- Russell Walters's practice location on file with NPPES is 110 Hospital Dr, Jefferson City, TN 37760-5281.
- What is Russell Walters's phone number?
- The practice phone number listed in the NPPES registry for Russell Walters is (865) 471-2300.
- Does Russell Walters accept Medicare?
- Russell Walters is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Walters's NPI active?
- Yes — Russell Walters's NPI (1952724403) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.