Individual provider Active NPI

Phyllis S Scarce, FNP, PNP

  • Family Nurse Practitioner
  • Danville, VA
National Provider Identifier
1316996986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024129895 Issued in VA
Practice address
117 Executive Dr
Danville, VA 24541-4101
Phone
(434) 792-0423
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 0024129895 VA Primary

Addresses

Primary practice location

117 Executive Dr
Danville, VA 24541-4101

Mailing address

117 Executive Dr
Danville, VA 24541-4101
Phone (434) 792-0423

Other identifiers 2

IdentifierTypeStateIssuer
0024129895OtherVALICENSE
0017136772OtherVAAUTHORIZATION TO PRESCRIB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041207000800 VA Practitioner - Nurse Practitioner 2264498617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexions Dermatology, PCGroup PAC ID 5294977401, 9 clinicians

Practice addresses (Care Compare)

117 Executive Dr
Danville, VA 24541-4101
Phone (434) 792-0423

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024129895VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexions Dermatology, PC CurrentSince Oct 22, 2018 Accepting new patients

Locations

117 Executive Dr
Danville, VA 24541
Phone (434) 792-0423

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316996986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-792-0423",
            "fax_number": "434-791-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-792-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARCE",
        "first_name": "PHYLLIS",
        "middle_name": "S",
        "credential": "FNP, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024129895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0024129895",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO PRESCRIB",
            "identifier": "0017136772",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.