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Active NPI 1750855649 Individual Practitioner Female Practitioner

Annalee Santos Russ , PHYSICIAN ASSISTANT

Physician Assistant • Summerfield, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Annalee Russ, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Summerfield, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Annalee Russ delivers high-quality medical care to the local community at 17820 SE 109TH AVE STE 108.

Annalee Russ maintains professional affiliations with Santos Primary Care Medical Clinics, Pllc, Central Florida Spine Institute, Pllc - Summerfield and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17820 Se 109th Ave Ste 108

Summerfield, FL 344918968

Telephone 3526932340
Fax 3526932345
Associated Practice Facility / Clinic
🏢 441 Urgent Care Center, Llc Facility NPI 1770726838

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summerfield, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Summerfield, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russ (8 Years) 8 Yrs
Summerfield Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
47 46 $265.00 $74.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
47 47 $665.00 $138.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9111964

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Drivers License
R200017915500 (FL)

Hospital & Practice Group Affiliations

Santos Primary Care Medical Clinics, Pllc

910 Old Camp Rd, The Villages, FL 321625605

Phone: 3524486469

Santos Primary Care Medical Clinics, Pllc

17820 Se 109th Ave, Summerfield, FL 344918968

Phone: 3524486469

Central Florida Spine Institute, Pllc - Summerfield

1451 El Camino Real, The Villages, FL 321590041

Phone: 3527518946

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Leon Bard , PA-C

Physician Assistant

NPI 1255769758

Physician Assistant (Certified)

Ashley Davis , FNP

Nurse Practitioner

NPI 1396230504

Family Nurse Practitioner

Ashley Hilger , NP

Emergency Medicine

NPI 1588021083

Nurse Practitioner

Aubrey Canal , APRN

Nurse Practitioner - Family

NPI 1689218679

Advanced Practice Registered Nurse

Francisca Perdomo , ARNP

Nurse Practitioner - Acute Care

NPI 1770026924

Advanced Registered Nurse Practitioner

Melinda Rogers , ARNP

Nurse Practitioner

NPI 1801268529

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2019

Registered at 17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 344918968 (Tel: 3526932340)

📍
Updated Business Mailing Address January 14, 2019

Registered at 17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 344918968 (Tel: 3526932340)

👤
Provider Name / Credentials Updated January 14, 2019

Recorded as ANNALEE RUSS, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2019

Physician Assistant (License #9111964 in FL)

🟢
Initial NPI Registration & Enumeration January 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750855649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2019
Last Update: January 14, 2019
Sole Proprietor: No

Mailing Address

17820 Se 109th Ave Ste 108

Summerfield, FL 344918968

Phone: 3526932340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.