Individual provider Active NPI

Susan Renee Scott, ARNP

  • Family Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1013049691
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A095863 Issued in IA
Practice address
2941 Sierra CT SW
Iowa City, IA 52240-8503
Phone
(319) 337-7642
Fax
(319) 339-1449
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A095863 IA Primary

Addresses

Primary practice location

2941 Sierra CT SW
Iowa City, IA 52240-8503

Mailing address

2941 Sierra CT SW
Iowa City, IA 52240-8503
Phone (319) 337-7642

Other identifiers 2

IdentifierTypeStateIssuer
1013049691MedicaidIA
P00474252OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000847 IA Practitioner - Nurse Practitioner 3678650314

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, shared by 2 NPIs, 1,254 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A095863IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Jan 1, 2010 Accepting new patients
State University of Iowa CurrentSince Jan 1, 2010 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

3 Lions Dr
North Liberty, IA 52317
Phone (319) 626-5680

Interoperability endpoints

  • Direct secure messaging: sscott22543@uihcdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1013049691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 SIERRA CT SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-7642",
            "fax_number": "319-339-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 SIERRA CT SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-7642",
            "fax_number": "319-339-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A095863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013049691",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00474252",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.