Individual provider Active NPI

Scott Nelson Schimpff, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orange Park, FL
National Provider Identifier
1376740191
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME115646 Issued in FL
Practice address
1564 Kingsley Ave Ste 300
Orange Park, FL 32073-4521
Phone
(904) 264-8801
Fax
(904) 621-0566
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME115646 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME115646 FL Primary

Addresses

Primary practice location

1564 Kingsley Ave Ste 300
Orange Park, FL 32073-4521

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

Other identifiers 4

IdentifierTypeStateIssuer
14QT4OtherFLFLORIDA BLUE
1376740191MedicaidVA
9996062OtherVAANTHEM, BC BS
009034700MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000280 FL Practitioner - Pain Management 5698863587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

14011 Beach Blvd
Jacksonville, FL 32250-1695

1564 Kingsley Ave
Suite 300
Orange Park, FL 32073-4521
Phone (904) 264-8801

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906

421 Kingsley Ave
Orange Park, FL 32073-4898

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Jacksonville, FL, CCN 108148
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115646FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Pain Medicine CurrentSince May 13, 2013 Accepting new patients
Physicians Group Services PA Physical Medicine & Rehabilitation CurrentSince May 13, 2013 Accepting new patients
Physicians Group Services PA Physical Medicine & Rehabilitation Past Accepting new patients

Locations

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000

1564 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 264-8801

Interoperability endpoints

  • Direct secure messaging: scott.schimpff.1@25110.direct.athenahealth.com

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1376740191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 KINGSLEY AVE STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734521",
            "telephone_number": "904-264-8801",
            "fax_number": "904-621-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMPFF",
        "first_name": "SCOTT",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME115646",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME115646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14QT4",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376740191",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BC BS",
            "identifier": "9996062",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009034700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.