Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396934196 Individual Practitioner Male Practitioner

Jonathan Forrest Russell , PA

Physician Assistant • Winston, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Russell, PA is a certified Physician Assistant practicing in Winston, OR. With approximately 19 years of clinical experience since completing medical education in 2007, Jonathan Russell delivers high-quality medical care to the local community at 671 SW MAIN ST.

Jonathan Russell is affiliated with Adapt and accepts Medicare assignment.

Frequently performed procedures and clinical services include testing for presence of drug, read by direct observation, urinalysis, manual test, pneumococcal vaccine for injection into muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

671 Sw Main St

Winston, OR 974966571

Telephone 5414924550
Fax 5416792005
Associated Practice Facility / Clinic
🏢 Oregon Community Dental Care Facility NPI 1629343140

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winston, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Winston, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russell (19 Years) 19 Yrs
Winston Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
80305 Testing for presence of drug, read by direct observation
45 12 $50.00 $11.15

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR 161337

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

Medicaid State Provider ID
364775 (AZ)
Commercial Insurance / Payer ID Medicare
03-1820
Commercial Insurance / Payer ID Medicare
ZFQ31820
Commercial Insurance / Payer ID Medicare
ZFQ31815
Commercial Insurance / Payer ID Medicare
03-1815
Commercial Insurance / Payer ID Medicare
Z132429
Commercial Insurance / Payer ID Medicare
Z139132

Hospital & Practice Group Affiliations

Adapt

671 Sw Main St, Winston, OR 974966571

Phone: 5414924550

Adapt

548 Se Jackson St, Roseburg, OR 974704983

Phone: 5416722691

Practice Associates & Co-Workers

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

26 Associated Practitioners
William Shobe , LMFT

Marriage & Family Therapist

NPI 1003179417

Licensed Marriage and Family Therapist

Louis Darling

Social Worker - Clinical

NPI 1003285271
NPI 1083016695

Doctor of Philosophy (Ph.D.)

Amanda Krueger , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144867698

Advanced Practice Registered Nurse

Eleanor Mcavoy

Nurse Practitioner

NPI 1144982125
Charlene Corrington

Counselor - Mental Health

NPI 1194501098

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 05, 2025

Registered at 671 SW MAIN ST, WINSTON, OR 974966571 (Tel: 5414924550)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Physician Assistant (License #161337 in OR)

📍
Updated Practice Location May 20, 2020

Registered at 221 NE MAIN ST, WINSTON, OR 974966562 (Tel: 5414924550)

📍
Updated Business Mailing Address May 20, 2020

Registered at 671 SW MAIN ST, WINSTON, OR 974966571 (Tel: 5414924550)

NPI Profile Active August 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2011

Registered at 865 N ARIZOLA RD, CASA GRANDE, AZ 851226011 (Tel: 5208363446)

📍
Updated Business Mailing Address August 10, 2011

Registered at 865 N ARIZOLA RD, CASA GRANDE, AZ 851226011 (Tel: 5208363446)

👤
Provider Name / Credentials Updated August 10, 2011

Recorded as JONATHAN RUSSELL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2011

Physician Assistant (License #3822 in AZ)

🟢
Initial NPI Registration & Enumeration October 17, 2007

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: 1396934196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2007
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

671 Sw Main St

Winston, OR 974966571

Phone: 5414924550

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.