Susan E Scott, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · South Jordan, UT
NPI 1295044170 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1295044170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7743082-4405 (UT)
- Practice address
- 1258 W South Jordan Pkwy
Suite 202
South Jordan, UT 84095-4711 - Phone
- (801) 255-1155
- Fax
- (801) 255-0281
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Maryland School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (866) 415-6556
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110901000328 | UT | Practitioner - Nurse Practitioner | 9133399017 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7743082-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Behavioral Health Services | Psychiatry | Current | Accepting new patients |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Behavioral Health Services | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Psychiatry | Current |
Accepting new patients |
| University of Utah Behavioral Health Services | Psychiatry | Current |
Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Suncrest Counseling | Past | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
5126 W Daybreak Pkwy
South Jordan, UT 84009
Phone (801) 213-4320
Interoperability endpoints
- sscott251354@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7743082-4405 | UT | Yes |
Addresses
Primary practice location
1258 W South Jordan Pkwy
Suite 202
South Jordan, UT 84095-4711
Mailing address
1258 W South Jordan Pkwy
Suite 202
South Jordan, UT 84095-4711
Phone (801) 255-1155
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sscott251354@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Other providers in South Jordan, UT
- Sciore Medical Consulting LLC
- Edmund Burton Sciore
- Jennifer Lynn Sciore
- Annalee Scott
- Daniel C Scott
- Scranton Clinic of Chiropractic
- Scranton Endeavors LLC
- Sophee Bella Seamons
- Ryan Sears
- Jillian Elise Sechrist
All providers in South Jordan, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.