Individual provider Active NPI

Rachel Scott, NP

  • Family Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1285270736
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285391 Issued in MI
Practice address
1310 Wisconsin St
Ste 301
Grand Haven, MI 49417-2472
Phone
(616) 296-1550
Fax
(616) 296-1552
NPI assigned
Nov 20, 2019
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 4704285391 MI Primary

Addresses

Primary practice location

1310 Wisconsin St
Ste 301
Grand Haven, MI 49417-2472

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797

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
I20191220001280 MI Practitioner - Nurse Practitioner 1456785633 Reassigns benefits to 2 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
Johnson Family Center for Cancer CareGroup PAC ID 3678551637, 10 clinicians

Practice addresses (Care Compare)

1440 E Sherman Blvd
Muskegon, MI 49444-1816
Phone (231) 672-2008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704285391MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network CurrentSince Feb 1, 2024 Accepting new patients
Johnson Family Center for Cancer Care CurrentSince Mar 15, 2025 Accepting new patients
Mercy Physician Network CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

1310 Wisconsin St
Ste 301
Grand Haven, MI 49417
Phone (616) 296-1550

1440 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-2008

1440 E Sherman Blvd
Ste 300
Muskegon, MI 49444
Phone (231) 672-2008

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rscott197603@direct.trinity-health.org

Organizations & group practices 4

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.

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1285270736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN ST",
            "address_2": "STE 301",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-296-1550",
            "fax_number": "616-296-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.