Individual provider Active NPI

Marcella Elizabeth Scott, NP

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1477827996
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28160355A Issued in IN
Practice address
4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630-7906
Phone
(812) 842-4550
Fax
(812) 842-4549
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28160355A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630-7906

Mailing address

4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630-7906
Phone (812) 476-6161

Other identifiers 2

IdentifierTypeStateIssuer
201062880MedicaidIN
7100401640MedicaidKY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000810 IN Practitioner - Nurse Practitioner 1850552969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4199 Gateway Blvd
Suite 3100
Newburgh, IN 47630-7906
Phone (812) 842-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28160355AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC Current Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Nurse Practitioner CurrentSince Mar 1, 2016 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC CurrentSince Mar 1, 2016 Accepting new patients
The Women'S Hospital Past Accepting new patients

Locations

4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630
Phone (812) 842-4550

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Organizations & group practices 4

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1477827996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "STE 3100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307906",
            "telephone_number": "812-476-6161",
            "fax_number": "812-476-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "STE 3100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307906",
            "telephone_number": "812-842-4550",
            "fax_number": "812-842-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MARCELLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28160355A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201062880",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100401640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.