Individual provider Active NPI

Susan Scales

  • Family Nurse Practitioner
  • Coventry, CT
National Provider Identifier
1457517823
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
003099 Issued in CT
Practice address
3514 Main St
Coventry, CT 06238-1551
Phone
(866) 389-2727
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 003099 CT Primary

Addresses

Primary practice location

3514 Main St
Coventry, CT 06238-1551

Mailing address

3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190620003152 MA Practitioner - Nurse Practitioner 7517028962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

1985 Main St
Suite E
Springfield, MA 01103-1016
Phone (413) 736-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince May 12, 2019 Accepting new patients
Total Wellness Centers, LLC CurrentSince May 12, 2019 Accepting new patients

Locations

201 S Main St
Ste 3
Athol, MA 01331
Phone (978) 248-0442

211 State St
#C
Belchertown, MA 01007
Phone (413) 725-4214

15 Carlson Ln
Unit B
Falmouth, MA 02540

489 Bernardston Rd
Ste 108
Greenfield, MA 01301
Phone (413) 325-8500

306 Race St
#2
Holyoke, MA 01040
Phone (413) 455-3405

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

68 Camp St
Ste 1
Hyannis, MA 02601
Phone (508) 477-4282

165 Mill St
Unit 2
Leominster, MA 01453
Phone (978) 227-1046

280 Union St
Ste 302
Lynn, MA 01901
Phone (781) 731-6804

92 Grape St
New Bedford, MA 02740
Phone (508) 991-4100

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 664-6111

53 Eagle St
Ste 3
Pittsfield, MA 01201
Phone (413) 236-5959

61 Industrial Park Rd
Ste 2
Plymouth, MA 02360
Phone (508) 503-5020

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

170 Main St
Unit G04
Tewksbury, MA 01876
Phone (781) 348-9041

40 Church Ave
Ste 202
Wareham, MA 02571
Phone (508) 291-4898

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

411 Chandler St
Worcester, MA 01602
Phone (508) 471-5600

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1457517823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, CT

Sources for this page

Verify at the official NPI Registry.