Individual provider Active NPI

Eileen M Scott, PA-C

  • Medical Physician Assistant
  • Suffolk, VA
National Provider Identifier
1275847022
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059265 Issued in PA
Practice address
150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168
Phone
(757) 547-5145
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003325 VA
Medical Physician Assistant 363AM0700X MA059265 PA Primary

Addresses

Primary practice location

150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168

Mailing address

PO Box 7776
Lancaster, PA 17604-7776
Phone (888) 985-2727

Other practice location 1

150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168
Phone (757) 547-5145

Other names 1

  • Eileen M Eden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101130000860 VA Practitioner - Physician Assistant 4587850763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502

5801 Harbour View Blvd
Suite 200
Suffolk, VA 23435-2657
Phone 75754751453502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059265PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Center CurrentSince Mar 12, 2012 Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients
Advanced Spine and Pain, LLC PastSince Jan 29, 2023 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Past Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients

Locations

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone 75754751453502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eileen.scott.1@24174.direct.athenahealth.com

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 1

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1275847022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7776",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176047776",
            "telephone_number": "888-985-2727",
            "fax_number": "856-779-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "STE. 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-547-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Burnetts Way",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348168",
            "country_code": "US",
            "telephone_number": "757-547-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003325",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "EDEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.