Individual provider Active NPI

Jacqueline Marie Scott

  • Family Nurse Practitioner
  • Humboldt, TN
National Provider Identifier
1477145779
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28946 Issued in TN
Practice address
3535 Chere Carol Rd
Humboldt, TN 38343-3634
Phone
(731) 513-5701
Fax
(877) 670-6150
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CVC PLLC 6 clinicians

Practice addresses (Care Compare)

2989 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (731) 513-5701

315 E Tickle St
Suite Aandb
Dyersburg, TN 38024-3117
Phone (731) 513-5701

58 Murray Guard Dr
Jackson, TN 38305-3661
Phone (731) 513-5701

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Henderson County Community Hospital Hospital, Lexington, TN, CCN 440008
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
79.92 of 100Reported as group
Quality
61.64
Improvement activities
40
Cost
72.07

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210309000742 TN Practitioner - Nurse Practitioner 8426464942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28946TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CVC PLLC CurrentSince Feb 10, 2021 Accepting new patients
MV Clinic PLLC PastSince Dec 3, 2023 Accepting new patients

Locations

2989 Kate Bond Rd
Bartlett, TN 38133

315 E Tickle St
#A
Dyersburg, TN 38024
Phone (731) 286-0149

315 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2100

315 E Tickle St
Ste Ab
Dyersburg, TN 38024
Phone (731) 307-8888

3535 Chere Carol Rd
Humboldt, TN 38343
Phone (731) 784-3323

58 Murray Guard Dr
Jackson, TN 38305
Phone (731) 512-5701

80 Benwood Ave
Lexington, TN 38351
Phone (731) 252-3326

250 Boswell St
Ste F
Lexington, TN 38351

Interoperability endpoints

  • Direct secure messaging: jacquelinescott@cvcpllc.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28946 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

3535 Chere Carol Rd
Humboldt, TN 38343-3634

Mailing address

3535 Chere Carol Rd
Humboldt, TN 38343-3634
Phone (731) 513-5701

Other names 1

NPPES NPI Registry
  • Jacqueline Marie Hatchett Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2021.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1477145779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HATCHETT",
            "middle_name": "MARIE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.