Individual provider Active NPI

Tierra Kaye Scott, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, IN
National Provider Identifier
1447825070
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28223444A Issued in IN
Practice address
3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545
Phone
(812) 378-9027
NPI assigned
May 25, 2021
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28223444A IN Primary

Addresses

Primary practice location

3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545

Mailing address

1937 Alvord St
Indianapolis, IN 46202-1849
Phone (812) 798-9111

Other names 1

  • Tierra Kaye Penick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001519 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204235955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Marian University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Indiana Anesthesia Associates PCGroup PAC ID 7618919036, 22 clinicians

Practice addresses (Care Compare)

3200 Sycamore CT
Suite 1B
Columbus, IN 47203-1545
Phone (812) 378-9027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
75.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28223444AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Indiana Anesthesia Associates PC CurrentSince Jun 15, 2021 Accepting new patients

Locations

3200 Sycamore Ct
Ste 1B
Columbus, IN 47203
Phone (812) 376-0800

Organizations & group practices 1

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.

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1447825070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 ALVORD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021849",
            "telephone_number": "812-798-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SYCAMORE CT STE 1B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031545",
            "telephone_number": "812-378-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TIERRA",
        "middle_name": "KAYE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28223444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "PENICK",
            "middle_name": "KAYE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.