Individual provider Active NPI

Nathan Wade Scott, A.P.R.N.

  • Family Nurse Practitioner
  • Old Saybrook, CT
National Provider Identifier
1174868095
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005125 Issued in CT
Practice address
154 Main St
Old Saybrook, CT 06475-2373
Phone
(860) 395-1212
Fax
(860) 358-8654
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 005125 CT Primary

Addresses

Primary practice location

154 Main St
Old Saybrook, CT 06475-2373

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130129000201 CT Practitioner - Nurse Practitioner 0345494373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, shared by 4 NPIs, 180 clinicians

Practice addresses (Care Compare)

154 Main St
Old Saybrook, CT 06475-2373

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

Hospital & facility affiliations

  • Middlesex Health Care at Home and Hospice Program Home health agency, Middletown, CT, CCN 077086
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005125CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Family CurrentSince Jan 7, 2013 Accepting new patients
MHS Primary Care Inc CurrentSince Jan 7, 2013 Accepting new patients
MHS Primary Care Inc Family CurrentSince May 27, 2017 Accepting new patients

Locations

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

154 Main St
Old Saybrook, CT 06475
Phone (860) 395-1212

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: nscott9845@middlesexhealthprd.direct-ci.com

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 4

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1174868095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4820",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752373",
            "telephone_number": "860-395-1212",
            "fax_number": "860-358-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NATHAN",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.