Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Emily L Russ, PA

Individual provider Physician Assistant · NPI 1457436966

MS. Emily L Russ, PA is a Physician Assistant in Neenah, Wisconsin. Qualified in 2003, 23 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
23
Licensed in
IA, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

130 2nd St
Neenah, WI 54956-2883
Phone: (920) 720-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 E Euclid Ave, Des Moines, IA 50313-4511 — (515) 585-0008
  • 626 E Longview Dr Ste B, Appleton, WI 54911-2164 — (920) 475-0333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4355-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 121931 (IA)

Record details

NPI number1457436966
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Neenah