Individual provider Active NPI

Scott A. Williams, RN, CNS, APN

  • Adult Health Clinical Nurse Specialist
  • Rensselaer, IN
National Provider Identifier
1508992140
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
#28121997A Issued in IN
Practice address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone
(219) 866-7555
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X #28121997A IN Primary

Addresses

Primary practice location

123 S McKinley Ave
Rensselaer, IN 47978-2949

Mailing address

402 S Park Ave
Rensselaer, IN 47978-3040
Phone (219) 866-8478

Other practice location 1

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-2098

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
I20090611000472 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 3678623790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1104 E Grace St
Renssalaer, IN 47978-3211
Phone (219) 866-2010

Hospital & facility affiliations

  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
#28121997AINMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jan 6, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Jan 6, 2025 Accepting new patients
Vein Associates of Northwest Indiana LLC PastSince Mar 17, 2015 Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1508992140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PARK AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783040",
            "telephone_number": "219-866-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479783211",
            "country_code": "US",
            "telephone_number": "219-866-2098",
            "fax_number": "219-866-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "RN, CNS, APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IN",
            "license": "#28121997A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

Verify at the official NPI Registry.