Active NPI
Scott Jeffrey Kautz Jr., ARNP-BC
- Adult Health Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9349673
- Practice address
- 4715 S Florida Ave
Lakeland, FL 33813-2101 - Phone
- (632) 846-8008
- Fax
- (863) 413-5807
- NPI assigned
- Apr 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9349673 | FL | Primary |
Addresses
Primary practice location
4715 S Florida Ave
Lakeland, FL 33813-2101
Mailing address
1324 Lakeland Hills Blvd
Attn: Managed Care Dept
Lakeland, FL 33805-5742
Phone (863) 687-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skautz17819@LRHS.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9349673 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
300 Parkview Pl
Lakeland, FL 33805
Phone (863) 687-1300
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
47 5th St NW
Winter Haven, FL 33881
Interoperability endpoints
- skautz17819@lrhs.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- General Practice Physician
- Winter Haven, FL
- NPI 1508215245
-
- Specialist
- Tampa, FL
- NPI 1700393881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1295189447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"address_2": "ATTN: MANAGED CARE DEPT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338055742",
"telephone_number": "863-687-1100",
"fax_number": "863-630-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132101",
"telephone_number": "632-846-8008",
"fax_number": "863-413-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUTZ",
"first_name": "SCOTT",
"middle_name": "JEFFREY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ARNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9349673",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skautz17819@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4715 S Florida Ave",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338132101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.