Individual provider Active NPI

Russell Mwengelekayi Tshiaba, APRN

  • Acute Care Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1144832049
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11008517 Issued in FL
Practice address
2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone
(407) 652-7026
Fax
(407) 652-7027
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11008517 FL Primary

Addresses

Primary practice location

2100 Ocoee Apopka Rd
Apopka, FL 32703

Mailing address

2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone (407) 652-7026

Other names 1

  • Mr. Tshiaba Mwengelekayi Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916001942 FL Practitioner - Nurse Practitioner 7315365764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 614-0500

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Advantage Wound Care LLC CurrentSince Jul 18, 2025 Accepting new patients
Mid Florida Hospital Specialists PA CurrentSince Sep 1, 2020 Accepting new patients

Locations

2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone (407) 607-7000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

601 E Rollins St
Ste 400
Orlando, FL 32803
Phone (407) 228-6573

220 N Kirkman Rd
Ste B
Orlando, FL 32811
Phone (407) 408-5910

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1144832049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-652-7026",
            "fax_number": "407-652-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-652-7026",
            "fax_number": "407-652-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSHIABA",
        "first_name": "RUSSELL",
        "middle_name": "MWENGELEKAYI",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11008517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TSHIABA",
            "last_name": "RUSSELL",
            "middle_name": "MWENGELEKAYI",
            "prefix": "MR.",
            "credential": "LPN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.