Individual provider Active NPI

Charlene Carolyn Scotton, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1164934394
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342360 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 F342360 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, NC, MA, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180221002073 NY Practitioner - Nurse Practitioner 6709147473 Reassigns benefits to 5 organizations
I20220916001981 OH Practitioner - Nurse Practitioner 6709147473 Reassigns benefits to 1 organization
I20220916003075 NC Practitioner - Nurse Practitioner 6709147473 Reassigns benefits to 1 organization
I20230309001270 MA Practitioner - Nurse Practitioner 6709147473 Reassigns benefits to 1 organization
I20240418002078 FL Practitioner - Nurse Practitioner 6709147473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F342360NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Aug 1, 2020 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 1, 2018 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 1, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 1, 2018 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

2015 Grand Concourse
#13202
Bronx, NY 10453

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

55 Water St
Fl 2
New York, NY 10041

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1164934394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTON",
        "first_name": "CHARLENE",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.