Individual provider Active NPI

Scott Harlan Ehmen, MD

  • Family Medicine Physician
  • Warsaw, IN
National Provider Identifier
1447216965
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01054904A Issued in IN
Practice address
1500 Provident Dr Ste a
Warsaw, IN 46580-3297
Phone
(574) 372-7637
Fax
(574) 372-7689
NPI assigned
Apr 24, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01054904A IN Primary

Addresses

Primary practice location

1500 Provident Dr Ste a
Warsaw, IN 46580-3297

Mailing address

P.O. Box 110
Warsaw, IN 46580
Phone (574) 267-3200

Other practice location 1

2101 East Dubois Drive
Warsaw, IN 46580
Phone (574) 267-3200

Other identifiers 1

IdentifierTypeStateIssuer
200496380MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scott.ehmen@lutheranhealthnetwork.cernerdirect.com
Direct Messaging Address scott.ehmen@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040817001112 IN Practitioner - Family Practice 3173596129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstat LLCGroup PAC ID 3476526476, 8 clinicians

Practice addresses (Care Compare)

1001 N Main St
Suite 1
Nappanee, IN 46550-1016
Phone (574) 773-4151

1500 Provident Dr
Suite a
Warsaw, IN 46580-3297
Phone (574) 372-7637

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Physicians Group SC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scott.ehmen.1@29579.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1447216965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 110",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "46580",
            "telephone_number": "574-267-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR STE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803297",
            "telephone_number": "574-372-7637",
            "fax_number": "574-372-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 East Dubois Drive",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "46580",
            "country_code": "US",
            "telephone_number": "574-267-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHMEN",
        "first_name": "SCOTT",
        "middle_name": "HARLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054904A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496380",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.ehmen@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1500 Provident Dr Ste A",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465803297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.ehmen@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1500 Provident Dr Ste A",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465803297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.