Individual provider Active NPI

Scott Lewis Greaser, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1124781836
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015066 Issued in FL
Practice address
615 Oakfield Dr
Brandon, FL 33511-5714
Phone
(813) 565-3322
NPI assigned
Oct 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015066 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015066 FL Primary

Addresses

Primary practice location

615 Oakfield Dr
Brandon, FL 33511-5714

Mailing address

615 Oakfield Dr
Brandon, FL 33511-5714
Phone (833) 769-3524

Other practice location 1

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 581-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220204000033 FL Practitioner - Nurse Practitioner 6406249960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLC 612 clinicians

Practice addresses (Care Compare)

260 Lookout PL
Maitland, FL 32751-4485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015066FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Institute PLC CurrentSince Nov 29, 2021 Accepting new patients
Personal Recovery Network LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.scottgreaser@141363.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1124781836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115714",
            "telephone_number": "833-769-3524",
            "fax_number": "813-200-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115714",
            "telephone_number": "813-565-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337704131",
            "country_code": "US",
            "telephone_number": "727-581-2678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREASER",
        "first_name": "SCOTT",
        "middle_name": "LEWIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.