MS. EMILY L RUSS (PA) – Physician Assistant, NPI 1457436966
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for MS. EMILY L RUSS (PA)
100 E Euclid Ave
Des Moines, IA 503134511
Phone: (515) 585-0008
Fax: (307) 215-1187
Type: Location
626 E Longview Dr Ste B
Appleton, WI 549112164
Phone: (920) 475-0333
Type: Location
911, Columbus Avenue, Downtown Melbourne, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 329014605
Phone: (321) 662-3222
Fax: (321) 622-3203
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 723-2300
Type: Mailing
130 2ND ST
NEENAH, WI 549562883
Phone: (920) 720-2300
Type: Location
619, Heather Stone Drive, Indianola, Merritt Island, Brevard County, Florida, 32953, United States
MERRITT ISLAND, FL 329534341
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-01-19 • Largest payer in this snapshot: Alkermes, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120709000352 | I | Physician Assistant | GA | TBD |
| I20171024003537 | I | Physician Assistant | NC | TBD |
| I20181214000407 | I | Physician Assistant | WI | TBD |
| I20251112002715 | I | Physician Assistant | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50313)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
Reviews
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