Individual provider Active NPI

Jennifer L Scott, APRN

  • Acute Care Nurse Practitioner
  • Rochester, IL
National Provider Identifier
1558077602
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209026390 Issued in IL
Practice address
6179 New City Rd
Rochester, IL 62563-6153
Phone
(217) 801-0808
NPI assigned
Jan 23, 2023
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209026390 IL Primary

Addresses

Primary practice location

6179 New City Rd
Rochester, IL 62563-6153

Mailing address

6179 New City Rd
Rochester, IL 62563-6153
Phone (217) 801-0808

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jennifer.scott@hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20241001001796 IL Practitioner - Nurse Practitioner 1153852215 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Department Specialists LTDGroup PAC ID 5193627727, 62 clinicians

Practice addresses (Care Compare)

701 N 1St St
Springfield, IL 62781-3757
Phone (217) 788-3156

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026390ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylorville Memorial Hospital CurrentSince Dec 30, 2025 Accepting new patients
Abraham Lincoln Memorial Hospital CurrentSince Dec 28, 2025 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Aug 29, 2024 Accepting new patients
Abraham Lincoln Memorial Hospital CurrentSince Jul 21, 2024 Accepting new patients
Taylorville Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Taylorville Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Abraham Lincoln Memorial Hospital CurrentSince Jul 21, 2024 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/stvince-659560ec

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1558077602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 NEW CITY RD",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625636153",
            "telephone_number": "217-801-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 NEW CITY RD",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625636153",
            "telephone_number": "217-801-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209026390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennifer.scott@hshs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6179 New City Rd",
            "city": "Rochester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625636153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, IL

Sources for this page

Verify at the official NPI Registry.