Individual provider Active NPI

Lindsay Penn Scruggs

  • Women's Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1396053534
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5004855 Issued in NC
Practice address
4414 Lake Boone TRL Ste 210
Raleigh, NC 27607-7520
Phone
(919) 671-1040
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5004855 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 210
Raleigh, NC 27607-7520

Mailing address

2609 N Duke St Ste 204
Durham, NC 27704-5936
Phone (919) 220-5435

Other practice location 1

2609 N Duke St Ste 204
Durham, NC 27704-5936
Phone (919) 220-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120525000217 NC Practitioner - Nurse Practitioner 0143483396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7520
Phone (919) 696-4130

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004855NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Nov 23, 2021 Accepting new patients
Whap, PA Past Accepting new patients

Locations

4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896

4414 Lake Boone Trl
Ste 210
Raleigh, NC 27607
Phone (919) 571-1040

4414 Lake Boone Trl
Ste 407
Raleigh, NC 27607
Phone (919) 341-0915

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: lindsay.scruggs.1@7773.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1396053534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST STE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045936",
            "telephone_number": "919-220-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-671-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 N Duke St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277045936",
            "country_code": "US",
            "telephone_number": "919-220-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "LINDSAY",
        "middle_name": "PENN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.