Individual provider Active NPI

Malvie Scarlett, FNP

  • Family Nurse Practitioner
  • Warsaw, IN
National Provider Identifier
1295517951
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20222008416 Issued in IN
Practice address
2082 Hemlock LN
Warsaw, IN 46580-7003
Phone
(954) 461-4661
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 20222008416 IN Primary

Addresses

Primary practice location

2082 Hemlock LN
Warsaw, IN 46580-7003

Mailing address

2082 Hemlock LN
Warsaw, IN 46580-7003
Phone (954) 461-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20222008416INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Jul 6, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 22, 2024 Accepting new patients
Theoria Medical CurrentSince Jun 28, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 22, 2024 Accepting new patients
FC Indiana, LLC CurrentSince Jul 6, 2024 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1295517951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 HEMLOCK LN",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465807003",
            "telephone_number": "954-461-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 HEMLOCK LN",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465807003",
            "telephone_number": "954-461-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "MALVIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "20222008416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.