Scott Wayne Perrenod, DNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP12667 Issued in CA

Practice address

885 Tahoe Blvd Ste 51
Incline Village, NV 89451-9408

Phone

(775) 264-6876

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.perrenod.p1@direct.apdss.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

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.

• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781
  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1063523470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CAPE HORN RD E",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957139434",
            "telephone_number": "889-662-3988",
            "fax_number": "889-662-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 TAHOE BLVD STE 51",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519408",
            "telephone_number": "775-264-6876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 16th St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025275",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5865 Ridgeway Center Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204014",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 K St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958164921",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Michigan Ave Ste 810",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015902",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 N Rocky Point Drive West STE 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33601",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Business Center Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121001",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31-59 West W 25th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10001",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E 400 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112993",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Pine Haven Shores Rd",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054827703",
            "country_code": "US",
            "telephone_number": "775-490-8238",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Vineyard Blvd Ste A325",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173938",
            "country_code": "US",
            "telephone_number": "775-264-6876",
            "fax_number": "775-490-8238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRENOD",
        "first_name": "SCOTT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP12667",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP12667",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP12667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Lake Tahoe Fire Protection District
• Tori Kathleen O'Connor, ATC
• Robert Oloroso, PHARMD
• Marie Louise Palu, PT
• Lesa Sol Pensak
• Daniel L Peterson, MD
• Stacy Phillips
• Raleys
• Maria Anne Raslear, M.D.
• Annette Marie Reed

• Family Nurse Practitioner in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.