Jana Lea Scott, NP-C
Individual provider Active NPI Family Nurse Practitioner · Springfield, MO
NPI 1497028344 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1497028344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2012000262 (MO)
- Practice address
- 3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980 - Phone
- (417) 220-4480
- Fax
- (417) 414-0017
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sgoh Acquisition Inc
Practice addresses (Care Compare)
101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404
Hospital & facility affiliations
- Ozarks Community Hospital of Gravette
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130401000243 | MO | Practitioner - Nurse Practitioner | 9234374950 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012000262 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospices of America, LLC | Current | Accepting new patients | |
| Community Hospices of America, LLC | Family | Current |
Accepting new patients |
| Primrose Nephrology, Inc. | Current | Accepting new patients | |
| Community Hospices of America LLC | Family | Current |
Accepting new patients |
| Community Hospices of America LLC | Family | Past | Accepting new patients |
Locations
707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400
1602C N Main St
Mountain Grv, MO 65711
Phone (417) 926-4146
105 S Ridgecrest Ave
Nixa, MO 65714
Phone (417) 724-3100
230 Business Highway 13
Ste 2
Osceola, MO 64776
Phone (417) 283-3244
1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900
1341 W Battlefield St
Ste 120
Springfield, MO 65807
Phone (417) 882-0453
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012000262 | MO | Yes |
Addresses
Primary practice location
3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Mailing address
3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone (417) 220-4480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500128969 | Medicaid | MO | |
| 420017802 | Medicaid | MO |
Other providers in Springfield, MO
- Craig Stephen Scott
- Dana Ann Scott
- Douglas Edward Scott
- Elizabeth Scott
- Grant Scott
- Janis Lynn Scott
- Jayden Scott
- Joshua R. Scott
- Kristel Ann Scott
- Lynn R Scott
All providers in Springfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.