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Dr. Kathryn A Russell , DC

Chiropractor β€’ Niceville, FL

Active NPI 1174291975 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

350 John Sims Pkwy W Unit 401
Niceville, FL 325781963

Call 8506788049 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

350 John Sims Pkwy W Unit 401

Niceville, FL 325781963

Telephone 8506788049
Organization at the Same NPPES Address or Phone
Ewing Family Chiropractic Facility NPI 1962876623

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2021

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Russell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Niceville and Florida

10 active clinicians are listed under Chiropractor with a practice address in Niceville, FL (7,026 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES FL 13696

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20230907000035

Enrollment State Jurisdiction

FL

PECOS Control ID

3971967118

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 18, 2023

Registered at 350 JOHN SIMS PKWY W UNIT 401, NICEVILLE, FL 325781963 (Tel: 8506788049)

βœ…
NPI Profile Active September 06, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2021

Registered at 4794 NORTHLAKE BLVD STE B, PALM BEACH GARDENS, FL 334185910 (Tel: 5617754900)

πŸ“
Business Mailing Address (Initial Record) September 06, 2021

Registered at 460 S ROSEMARY AVE APT 307, WEST PALM BEACH, FL 334015799 (Tel: 8502263911)

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2021

Recorded as KATHRYN RUSSELL, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2021

Chiropractor (license number reported to NPPES: FL 13696)

🟒
Initial NPI Registration & Enumeration September 06, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174291975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2021
Last Update: June 18, 2023
Sole Proprietor: No

Other Chiropractors in Niceville

Healthcare providers in Niceville

Mailing Address

460 S Rosemary Ave Apt 307

West Palm Beach, FL 334015799

Phone: 8502263911

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.