Emily L Russ, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4355-23 Issued in WI

Practice address

130 2ND St
Neenah, WI 54956-2883

Phone

(920) 720-2300

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WI

  Medicare reassignment
• Thedacare, Incorporated

  • Counselor
  • Menasha, WI
  • NPI 1306959515
  NPD
• Department of Behavioral Health & Developmental Disabilities

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Psychiatry Associates of Wyoming

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1295296127
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD
• Advanced Behavioral Care LLC

  • Prescribing (Medical) Psychologist
  • Melbourne, FL
  • NPI 1760772032
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1457436966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-723-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 2ND ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562883",
            "telephone_number": "920-720-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503134511",
            "country_code": "US",
            "telephone_number": "515-585-0008",
            "fax_number": "307-215-1187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Valley West Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661902",
            "country_code": "US",
            "telephone_number": "920-944-6422",
            "fax_number": "920-882-2154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 E Longview Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549112164",
            "country_code": "US",
            "telephone_number": "920-475-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "EMILY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "121931",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4355-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Rued, O.D.
• Kenneth Warren Rueden, PA-C
• Katie A Ruppenthal
• Rural Employee and Student Assistance Professionals, Inc.
• Holly A Rusch, AUD
• Emily Rae Ruthven
• Amanda Rutten
• Sarah Ruzek
• Caitlin Weber Ryan, MS, CCC-SLP
• Jeffrey Scott Ryan, LPC,CSAC

• Physician Assistant in Neenah, WI
• Providers in Neenah, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.