Scott Darwin Nerland, D.C.
Individual provider Active NPI Chiropractor · Osage, IA
NPI 1609877802 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1609877802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06686 (IA)
- Practice address
- 139 W Main St
Osage, IA 50461-1012 - Phone
- (641) 732-4665
- Fax
- (641) 732-3770
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Street Chiropractic PC
Practice addresses (Care Compare)
139 W Main St
Osage, IA 50461-1012
Phone (641) 732-4665
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040501000094 | IA | Practitioner - Chiropractic | 7416945373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06686 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Street Chiropractic PC | Chiropractor | Current |
Accepting new patients |
Locations
139 W Main St
Osage, IA 50461
Phone (641) 732-4665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06686 | IA | Yes |
Addresses
Primary practice location
139 W Main St
Osage, IA 50461-1012
Mailing address
139 W Main St
Osage, IA 50461-1012
Phone (641) 732-4665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0436790 | Medicaid | IA | |
| 13477 | Other | IA | BCBS OF IOWA |
Other providers in Osage, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. 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.
- 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.