NPIMap

Individual provider Active NPI

Lynne Scanlan, D.O.

  • Family Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1285898668
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9294 Issued in TX
Practice address
2409 Lou Hollow PL
Cedar Park, TX 78613-3103
Phone
(512) 484-8897
NPI assigned
Jul 15, 2008
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101017880 MI
Family Medicine Physician 207Q00000X N9294 TX Primary

Addresses

Primary practice location

2409 Lou Hollow PL
Cedar Park, TX 78613-3103

Mailing address

2409 Lou Hollow PL
Cedar Park, TX 78613-3103
Phone (512) 484-8897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827004679 PA Practitioner - Family Practice 6608045141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

416 S Main St
Mansfield, PA 16933-1510

6 Riverside PLZ
Blossburg, PA 16912-1137
Phone (570) 638-2174

7 Water St
Wellsboro, PA 16901-1126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017880MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Oct 6, 2025 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Oct 6, 2025 Accepting new patients
North Penn Comprehensive Health Services Family Medicine Current Accepting new patients

Locations

6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

416 S Main St
Mansfield, PA 16933
Phone (570) 662-1900

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

Interoperability endpoints

  • Direct secure messaging: lscanlan10234@direct.sw.org
  • Direct secure messaging: lynne.scanlan.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 3

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 10

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1285898668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 LOU HOLLOW PL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133103",
            "telephone_number": "512-484-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 LOU HOLLOW PL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133103",
            "telephone_number": "512-484-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "LYNNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101017880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.