Individual provider Active NPI

Travis Brian Scott, FNP-C

  • Family Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1225528441
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303673 Issued in MI
Practice address
818 W King St Ste 101
Owosso, MI 48867-2159
Phone
(989) 725-8171
Fax
(989) 723-1257
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 4704303673 MI Primary

Addresses

Primary practice location

818 W King St Ste 101
Owosso, MI 48867-2159

Mailing address

818 W King St Ste 101
Owosso, MI 48867-2159
Phone (989) 725-8171

Other identifiers 1

IdentifierTypeStateIssuer
1225528441MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180628001513 MI Practitioner - Nurse Practitioner 7911253216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

826 W King St
Memorial Medical Associates
Owosso, MI 48867-2120
Phone (989) 723-5211

Hospital & facility affiliations

  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704303673MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Memorial Hospital Family CurrentSince Aug 1, 2023 Accepting new patients
St. Johns Internal Medicine PC CurrentSince May 23, 2018 Accepting new patients
Memorial Hospital Nurse Practitioner Current Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

818 W King St
Ste 101
Owosso, MI 48867
Phone (989) 723-1390

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

110 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

Interoperability endpoints

  • Direct secure messaging: t.scott@memorialhealthcare.midirect.net

Organizations & group practices 5

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 3

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1225528441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672159",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672159",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TRAVIS",
        "middle_name": "BRIAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225528441",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.