Individual provider Active NPI

Scott E Wilson, F.N.P

  • Family Nurse Practitioner
  • Hayden, ID
National Provider Identifier
1346624459
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3171495 Issued in ID
Practice address
8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028
Phone
(208) 635-5265
Fax
(208) 635-5218
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3171495 ID Primary
Family Nurse Practitioner 363LF0000X 70109780 WA
Family Nurse Practitioner 363LF0000X 201603114 OR

Addresses

Primary practice location

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028

Mailing address

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028
Phone (208) 635-5265

Other practice location 1

9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone (360) 880-8193

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332

3524 Heathrow Way
Medford, OR 97504-4004

Hospital & facility affiliations

  • Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
  • Riverside Home Health Care Home health agency, Grants Pass, OR, CCN 387143
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201603114ORMDFamily Nurse Practitioner
70109780WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians CurrentSince May 1, 2019 Accepting new patients
Rogue Valley Physicians PC Family CurrentSince May 1, 2019 Accepting new patients
Functional Medicine of North Idaho, PLLC PastSince Jul 7, 2024 Accepting new patients

Locations

615 S 2nd St
Central Point, OR 97502
Phone (541) 789-4004

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

3524 Heathrow Way
Medford, OR 97504
Phone (541) 646-3505

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1346624459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 204",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-635-5265",
            "fax_number": "208-635-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 204",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-635-5265",
            "fax_number": "208-635-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9106 W Rutter Pkwy",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992089210",
            "country_code": "US",
            "telephone_number": "360-880-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "3171495",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "70109780",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201603114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.