Active NPI
Shirley Scott, WHNP
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1386215309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.023734
- Practice address
- 840 S Wood St # Mc718
Chicago, IL 60612-4325 - Phone
- (224) 650-7123
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041283655 | IL | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 041283655 | IL | |
| Nurse Practitioner | 363L00000X | 209.023734 | IL | Primary |
Addresses
Primary practice location
840 S Wood St # Mc718
Chicago, IL 60612-4325
Mailing address
840 S Wood St # Mc718
Chicago, IL 60612-4325
Other practice location 1
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (888) 731-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041283655 | IL | MD | Lactation Consultant (Registered Nurse) |
| 209.023734 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Partum Health Service Corporation | Past | Accepting new patients |
Locations
840 S Wood St
#718
Chicago, IL 60612
Phone (224) 650-7123
1801 W Taylor St
#C400
Chicago, IL 60612
Phone (312) 996-3630
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715472000000",
"number": "1386215309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S WOOD ST # MC718",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S WOOD ST # MC718",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "224-650-7123"
}
],
"practiceLocations": [
{
"address_1": "111 W Jackson Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606043597",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "SHIRLEY",
"name_prefix": "Dr.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2024-05-12",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041283655",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IL",
"license": "041283655",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.023734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.