MEDICARE: ALYSON NICOLE RUSSELL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	PA9121324	FL

General Provider Information

NPI Number	:	1316899735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON NICOLE RUSSELL PA-C

Provider Business Mailing Address
First Line	:	13152 ENCHANTMENT DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1500
Country	:	US
Telephone Number	:	352-795-1718
Fax Number	:

Provider Business Practice Location Address
First Line	:	7647 W GULF TO LAKE HWY STE 6
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-7800
Country	:	US
Telephone Number	:	352-795-1718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

Similar Medicare Providers

1295871580 — MRS. CHARA POWERS CELANO M.A.CCC,SLP
Practice Location Address:

7647 W GULF TO LAKE HWY STE 4
CRYSTAL RIVER, FL
34429-7800

Practice Phone: 352-795-4181
Practice Fax: 352-795-7981

1346648409 — AMANDA SMITH A.R.N.P.
Practice Location Address:

7647 W GULF TO LAKE HWY STE 6
CRYSTAL RIVER, FL
34429-7800

Practice Phone: 352-795-1718
Practice Fax:

1467094367 — KAREN L TALAMANTES APRN
Practice Location Address:

7647 W GULF TO LAKE HWY STE 6
CRYSTAL RIVER, FL
34429-7800

Practice Phone: 352-795-1718
Practice Fax: 352-795-7898

1477209328 — RISING TIDE THERAPY, LLC
Practice Location Address:

7647 W GULF TO LAKE HWY STE 4
CRYSTAL RIVER, FL
34429-7800

Practice Phone: 352-212-7435
Practice Fax:

1427045947 — SHORROCK GARDENS CARE CENTER INC.
Practice Location Address:

75 OLD TOMS RIVER RD
BRICK, NJ
08723-7800

Practice Phone: 732-451-1000
Practice Fax:

1174598411 — ANNE KOWALEFSKI PTA
Practice Location Address:

7800 N GREEN BAY RD
RIVER HILLS, WI
53217-2047

Practice Phone: 414-255-1523
Practice Fax:

Directions to “ ALYSON NICOLE RUSSELL PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.