EMERALD LOLITA RUSSELL-NATHAN MD
NPI 1174257299
Pediatrics in Tavares, FL

Q: What is Emerald Russell-nathan's NPI number?

The NPI number for Emerald Russell-nathan is 1174257299. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Q: What is Emerald Russell-nathan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 14, 2022PECOS Enrolled

1000 WATERMAN WAY, TAVARES, FL 32778(407) 975-0412 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Emerald Lolita Russell-nathan Md NPPES

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

EMERALD LOLITA RUSSELL-NATHAN MD (NPI 1174257299) is an individual pediatrics provider in Tavares, Florida, licensed in Florida (ME172692) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174257299

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameEMERALD LOLITA RUSSELL-NATHANCredential: MD

Location Address1000 WATERMAN WAYTavares, FL 32778-5266

Mailing Address1000 Waterman WayTavares, FL 32778-5266 · (407) 975-0412

Phone(407) 975-0412

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 14, 2022

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1174257299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME172692

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1000 WATERMAN WAY, Tavares, FL 32778

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Secondary Practice Location 1

Location 12501 N Orange Ave Fl 3Orlando, FL 32804-4603 · Phone (321) 947-5206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Lolita Russell-nathan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517465545

PECOS Enrollment IDI20250809000008

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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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.

ALEEN JOY MCGOWAN

Nurse Anesthetist, Certified Registered