Individual provider Active NPI

Pamela Lawawen Scott, APRN FNP-BC

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1215526900
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011119 Issued in FL
Practice address
831 Enterprise Ave
New Smyrna Beach, FL 32168-6522
Phone
(863) 577-9782
Fax
(386) 767-3761
NPI assigned
Jan 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 11011119 FL Primary

Addresses

Primary practice location

831 Enterprise Ave
New Smyrna Beach, FL 32168-6522

Mailing address

831 Enterprise Ave
New Smyrna Beach, FL 32168-6522
Phone (863) 577-9782

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
I20220905000126 FL Practitioner - Nurse Practitioner 7810371143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209
Phone (732) 719-5039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Dec 5, 2024 Accepting new patients
Pamela's Assiduous Medical Services LLC CurrentSince Jun 11, 2023 Accepting new patients
D.H. Medical, LLC CurrentSince Aug 23, 2022 Accepting new patients
Sarina Healthcare LLC PastSince Mar 21, 2021 Accepting new patients
Gohar S. Khan, M.D., P,a. PastSince Jan 1, 2021 Accepting new patients

Locations

430 Oakridge Blvd
Daytona Beach, FL 32118
Phone (386) 215-2337

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

803 Oak St
Green Cove Springs, FL 32043
Phone (904) 264-0263

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137
Phone (386) 446-6060

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 6

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": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1215526900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 ENTERPRISE AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686522",
            "telephone_number": "863-577-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ENTERPRISE AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686522",
            "telephone_number": "863-577-9782",
            "fax_number": "386-767-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PAMELA",
        "middle_name": "LAWAWEN",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.