EMILY BROOKE RUSSELL
NPI 1114763455
Nurse Practitioner - Adult Health in Malone, NY

Active since July 05, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Jul 5, 2024 (2 updates tracked since 2024).

About Emily Brooke Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY BROOKE RUSSELL (NPI 1114763455) is an individual adult health provider in Malone, New York, licensed in New York (F311786) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with The University Of Vermont Health Network-alice Hy, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114763455
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameEMILY BROOKE RUSSELL
Location Address15 4TH STMalone, NY 12953-1340
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 5, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1114763455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F311786
15 4TH ST, Malone, NY 12953

Secondary Practice Locations 2

Location 1146 Louey RdDickinson Center, NY 12930-1723 · Phone (518) 651-7491
Location 2133 Park StMalone, NY 12953-1244 · Phone (518) 483-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Brooke Russell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365980596
PECOS Enrollment IDI20240819001980
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Community/Behavioral Health
15 4TH ST
MALONE, NY 12953
Health and Wellness Coach
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Registered Nurse (Psychiatric/Mental Health, Adult)
15 4TH ST
MALONE, NY 12953
Registered Nurse
15 4TH ST
MALONE, NY 12953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Russell's NPI number?

The NPI number for Emily Russell is 1114763455. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Emily Russell located?

Emily Russell practices at 15 4th St, Malone, NY 12953. The listed phone number is (518) 481-2868.

What is Emily Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Emily Russell enrolled in Medicare?

Yes. Emily Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Emily Russell affiliated with any hospitals?

According to CMS data, Emily Russell is affiliated with The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Emily Russell was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.