Individual provider Active NPI

Quiana Jenequa Scott- Ruffin, NP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1477911865
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285795 Issued in MI
Practice address
1534 Kalamazoo Ave SE Ste 1
Grand Rapids, MI 49507-2114
Phone
(616) 267-4170
Fax
(616) 267-4171
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 4704285795 MI Primary

Addresses

Primary practice location

1534 Kalamazoo Ave SE Ste 1
Grand Rapids, MI 49507-2114

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Quiana Jenequa Scott Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address qscott157399@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160401001088 MI Practitioner - Nurse Practitioner 8921305160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians

Practice addresses (Care Compare)

1534 Kalamazoo Ave SE
Grand Rapids, MI 49507-2114
Phone (616) 267-4170

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Sep 16, 2018 Accepting new patients
Spectrum Health Hospitals CurrentSince Sep 16, 2018 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 18, 2022 Accepting new patients

Locations

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

426 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7888

25 Michigan St NE
Ste 5100
Grand Rapids, MI 49503
Phone (616) 267-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1534 Kalamazoo Ave SE
Ste 1
Grand Rapids, MI 49507
Phone (616) 267-4170

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1845 Holton Rd
North Muskegon, MI 49445
Phone (231) 291-8399

Interoperability endpoints

  • Direct secure messaging: qscott157399@epic00.shdirect.org
  • Direct secure messaging: qscott157399@epic00.corewelldirect.org

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.

Hospital & facility affiliations 2

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1477911865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 KALAMAZOO AVE SE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072114",
            "telephone_number": "616-267-4170",
            "fax_number": "616-267-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT- RUFFIN",
        "first_name": "QUIANA",
        "middle_name": "JENEQUA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qscott157399@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "25 Michigan St NE Ste 5100",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "25 Michigan St NE Ste 5100",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "QUIANA",
            "last_name": "SCOTT",
            "middle_name": "JENEQUA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.