Individual provider Active NPI

Elaine Kay Scott, CRNP

  • Family Nurse Practitioner
  • Brookville, OH
National Provider Identifier
1285700757
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-08442 Issued in OH
Practice address
950 Salem St
Brookville, OH 45309-8227
Phone
(937) 833-4581
Fax
(937) 833-5359
NPI assigned
Nov 28, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 NP-08442 OH Primary

Addresses

Primary practice location

950 Salem St
Brookville, OH 45309-8227

Mailing address

3170 Kettering Blvd
BLDG B 3Rd FL
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

201 N.Ludlow St
Phillipsburg, OH 45354-0488
Phone (937) 884-5112

Other practice location 2

220 E Main St
New Lebanon, OH 45345-1254
Phone (937) 687-1331

Other identifiers 1

IdentifierTypeStateIssuer
2773897MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070125000282 OH Practitioner - Nurse Practitioner 1355342809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
80.85
Promoting interoperability
99
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-08442OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc CurrentSince May 12, 2008 Accepting new patients
Samaritan Family Care Inc CurrentSince May 12, 2008 Accepting new patients
Osama Al-Samkari M.D. Inc Past Accepting new patients
Mvhe Inc Past Accepting new patients
Comprehensive Medical Services LLC Past Accepting new patients

Locations

950 Salem St
Brookville, OH 45309
Phone (937) 833-2149

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

220 E Main St
New Lebanon, OH 45345
Phone (937) 687-1331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285700757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BLDG B 3RD FL",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SALEM ST",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098227",
            "telephone_number": "937-833-4581",
            "fax_number": "937-833-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N.Ludlow St",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "OH",
            "postal_code": "453540488",
            "country_code": "US",
            "telephone_number": "937-884-5112",
            "fax_number": "937-884-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Lebanon",
            "state": "OH",
            "postal_code": "453451254",
            "country_code": "US",
            "telephone_number": "937-687-1331",
            "fax_number": "937-687-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ELAINE",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-08442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2773897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

Verify at the official NPI Registry.