Individual provider Active NPI

Melissa Jane Scotting, APRN, CNP

  • Family Nurse Practitioner
  • Marshall, MN
National Provider Identifier
1407049315
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3141 Issued in MN
Practice address
300 S Bruce St
Avera Marshall
Marshall, MN 56258-1934
Phone
(507) 537-9007
Fax
(507) 537-2720
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R134108-5 MN
Family Nurse Practitioner 363LF0000X 3141 MN Primary

Addresses

Primary practice location

300 S Bruce St
Avera Marshall
Marshall, MN 56258-1934

Mailing address

300 S Bruce St
Avera Marshall
Marshall, MN 56258-1934
Phone (507) 537-9007

Other identifiers 3

IdentifierTypeStateIssuer
892372800MedicaidMN
R030710OtherSDSD BOARD OF NURSING
R134108-5OtherMNMN BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070921000511 MN Practitioner - Nurse Practitioner 0941394860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pipestone County Medical CenterGroup PAC ID 0840109682, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

916 SW 4TH Ave
Pipestone, MN 56164-1890
Phone (507) 825-5811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3141MNMDMental Health Counselor
R134108-5MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pipestone County Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Pipestone County Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Avera Marshall CurrentSince Mar 26, 2012 Accepting new patients
Avera Marshall CurrentSince Mar 26, 2012 Accepting new patients
Pipestone County Medical Center Current Accepting new patients
Avera Marshall Current Accepting new patients
Pipestone County Medical Center Current Accepting new patients

Locations

303 5th Ave N
Edgerton, MN 56128
Phone (507) 442-5424

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

920 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-3390

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

Interoperability endpoints

  • Direct secure messaging: melissa.scotting@avera.sdhealthlink.net

Organizations & group practices 7

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 1

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1407049315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "address_2": "AVERA MARSHALL",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-537-9007",
            "fax_number": "507-537-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "address_2": "AVERA MARSHALL",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-537-9007",
            "fax_number": "507-537-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTING",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R134108-5",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "3141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892372800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF NURSING",
            "identifier": "R030710",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF NURSING",
            "identifier": "R134108-5",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.