Individual provider Active NPI

Michael Scoggan, MSN, APRN, ACNPC-AG

  • Adult Health Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1447941646
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
116447 Issued in WV
Practice address
418 Grand Park Dr Ste 311
Parkersburg, WV 26105-4000
Phone
(304) 865-5105
NPI assigned
May 17, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 116447 WV
Nurse Practitioner 363L00000X APRN.CNP.0033854 OH
Nurse Practitioner 363L00000X 116447 WV
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0033854 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0033854 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0033854 OH
Gerontology Nurse Practitioner 363LG0600X 116447 WV
Adult Health Nurse Practitioner 363LA2200X 116447 WV Primary

Addresses

Primary practice location

418 Grand Park Dr Ste 311
Parkersburg, WV 26105-4000

Mailing address

418 Grand Park Dr Ste 311
Parkersburg, WV 26105-4000
Phone (304) 865-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230824004256 OH Practitioner - Nurse Practitioner 7214390137 Reassigns benefits to 1 organization
I20240430000130 WV Practitioner - Nurse Practitioner 7214390137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

418 Grand Park Dr
Suite 311
Parkersburg, WV 26105-4000
Phone (304) 865-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033854OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Mar 18, 2024 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904

1019 Pike St
Marietta, OH 45750
Phone (740) 376-2622

2107 Pike St
Ste 6
Parkersburg, WV 26101
Phone (304) 865-5500

214 Gihon Vlg
Parkersburg, WV 26101
Phone (304) 422-3687

418 Grand Park Dr
Ste 311
Parkersburg, WV 26105
Phone (304) 485-7700

418 Grand Park Dr
Ste 321
Parkersburg, WV 26105
Phone (304) 865-5185

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

800 Grand Central Mall
Ste 8
Vienna, WV 26105
Phone (304) 917-4124

801 Grand Central Mall Ste 8
Vienna, WV 26105

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.

Hospital & facility affiliations 4

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1447941646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR STE 311",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-865-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR STE 311",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-865-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "116447",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033854",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "116447",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0033854",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0033854",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0033854",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "116447",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "116447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.