Individual provider Active NPI

Scot Darrell Fleshman, MSN, FNP-BC

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1295163483
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60389712 Issued in WA
Practice address
4423 Point Fosdick Dr NW Ste 306
Gig Harbor, WA 98335-1794
Phone
(253) 432-4437
Fax
(866) 336-4138
NPI assigned
Oct 24, 2013
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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 AP60389712 WA Primary

Addresses

Primary practice location

4423 Point Fosdick Dr NW Ste 306
Gig Harbor, WA 98335-1794

Mailing address

4423 Point Fosdick Dr NW Ste 306
Gig Harbor, WA 98335-1794
Phone (253) 432-4437

Other identifiers 2

IdentifierTypeStateIssuer
G8939942OtherWAMEDICARE
0342003OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150528000317 WA Practitioner - Nurse Practitioner 0840514485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4423 Point Fosdick Dr NW
Suite 200
Gig Harbor, WA 98335-1794
Phone (253) 432-4437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gig Harbor Primary Care LLC CurrentSince Jul 3, 2017 Accepting new patients

Locations

4423 Point Fosdick Dr
Ste 200
Gig Harbor, WA 98335
Phone (253) 432-4437

4423 Point Fosdick Dr
Ste 306
Gig Harbor, WA 98335
Phone (253) 432-4437

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBIFDD/Endpoint/EBIFDD
  • Direct secure messaging: scot.fleshman@ghpc-wa.direct.office.nextgen.com

Organizations & group practices 1

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 4

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1295163483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW STE 306",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "253-432-4437",
            "fax_number": "866-336-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW STE 306",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "253-432-4437",
            "fax_number": "866-336-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESHMAN",
        "first_name": "SCOT",
        "middle_name": "DARRELL",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60389712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8939942",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0342003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.