Scott G Vandawalker, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

81513 Issued in NM

Practice address

2800 Doral CT
Las Cruces, NM 88011-8616

Phone

(575) 521-0055

Fax

(575) 521-0077

NPI assigned

Nov 13, 2006

Last updated

Jan 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, NM2 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 2

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlos a Cadena DPM PCGroup PAC ID 1456253913, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos a Cadena DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
  • NPI 1679617229
  Medicare reassignment Care Compare group NPD
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415

  CO

  Medicare reassignment NPD
• Peoplefirst Homecare & Hospice of Colorado, LLC

  dba Kindred at Home-Hospice-Denver

  • Home Health Clinical Nurse Specialist
  • Wheat Ridge, CO
  • NPI 1417127390
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1194896753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAWALKER",
        "first_name": "SCOTT",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "81513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000H1034",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98001574",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Van Deusen Legarreta
• Lilian Van Harn
• Darrell Van Soelen
• Sabrina E. Van Why, LCSW
• Christene Vancott, CNM CFNP
• Joshua Rex Vanderhoof
• Jessica Vanderpoorten
• Shannon Vane, MSN, RN, FNP-C, CPN
• Vangaurd Genetics, LLC
• Juanita Vanore

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.