Active NPI
Rachel Scott, NP
- Family Nurse Practitioner
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704285391
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704285391 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Current | Accepting new patients | |
| Johnson Family Center for Cancer Care | Current | Accepting new patients | |
| Mercy Physician Network | Current | 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
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
- 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.
-
- Radiation Oncology Clinic/Center
- Muskegon, MI
- NPI 1639368293
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1023056744
-
dba Fruitport Family Medicine
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.