Individual provider Active NPI

Lauren Scott

  • Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1376186403
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012901 Issued in CA
Practice address
100 S Ellsworth Ave Ste 806
San Mateo, CA 94401-3926
Phone
(831) 247-1137
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012901 CA Primary

Addresses

Primary practice location

100 S Ellsworth Ave Ste 806
San Mateo, CA 94401-3926

Mailing address

PO Box 398
Ben Lomond, CA 95005-0398

Other practice location 1

3311 Mission Dr
Santa Cruz, CA 95065-1827
Phone (831) 475-4315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230627000381 CA Practitioner - Nurse Practitioner 6800218249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012901CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group CurrentSince May 20, 2024 Accepting new patients

Locations

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Interoperability endpoints

  • Direct secure messaging: lscott@csinorthca.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1376186403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950050398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 806",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013926",
            "telephone_number": "831-247-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Mission Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651827",
            "country_code": "US",
            "telephone_number": "831-475-4315",
            "fax_number": "831-475-6526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.