NPIMap

Individual provider Active NPI

Scott Leroy Axtell

  • Certified Registered Nurse Anesthetist
  • Durham, NC
National Provider Identifier
1568027233
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
253215 Issued in NC
Practice address
2301 Erwin Road
Dumc 3094, Hafs BLDG. Room 6670
Durham, NC 27705
Phone
(919) 668-0289
NPI assigned
May 7, 2019
Last updated
Jun 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 253215 NC Primary

Addresses

Primary practice location

2301 Erwin Road
Dumc 3094, Hafs BLDG. Room 6670
Durham, NC 27705

Mailing address

312 Sparta LN
Apex, NC 27502-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190911002408 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991034258 Reassigns benefits to 5 organizations
I20220430000206 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991034258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 215-1000

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6145NCMDPsychologist
253215NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2021 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Apr 1, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2019 Accepting new patients
Raleigh Sedation Associates LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients
Rector & Visitors of the University of Virginia CurrentSince Dec 22, 2021 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

2301 Erwin Rd
Rm 6670
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520

Organizations & group practices 11

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 10

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1568027233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SPARTA LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN ROAD",
            "address_2": "DUMC 3094, HAFS BLDG. ROOM 6670",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-668-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTELL",
        "first_name": "SCOTT",
        "middle_name": "LEROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "253215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.