Individual provider Active NPI

Nikki Scott, NP

  • Adult Health Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1619676418
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1110438 Issued in TX
Practice address
1802 Moores LN
Texarkana, TX 75503-4609
Phone
(903) 306-0711
Fax
(903) 306-2577
NPI assigned
Mar 1, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1110438 TX Primary

Addresses

Primary practice location

1802 Moores LN
Texarkana, TX 75503-4609

Mailing address

1802 Moores LN
Texarkana, TX 75503-4609
Phone (903) 306-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230314002030 AR Practitioner - Nurse Practitioner 5698149698 Reassigns benefits to 1 organization
I20230807001423 TX Practitioner - Nurse Practitioner 5698149698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Red River Health LLCGroup PAC ID 7416320783, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

1550 Moores LN
Texarkana, TX 75503-4657
Phone (903) 792-7435

2908 S Caraway Rd
Suite a
Jonesboro, AR 72401-7345
Phone (870) 336-2195

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Health, LLC CurrentSince Jun 2, 2025 Accepting new patients
Red River Health, LLC CurrentSince Jun 2, 2025 Accepting new patients
Charles R Gordon MD PA CurrentSince Nov 13, 2023 Accepting new patients
Charles R Gordon MD PA CurrentSince Nov 13, 2023 Accepting new patients
Precision Surgery Center, LLC. Past Accepting new patients

Locations

2908 S Caraway Rd
Ste A
Jonesboro, AR 72401
Phone (870) 336-2195

1550 Moores Ln
Texarkana, TX 75503
Phone (903) 792-7435

1550 Moores Ln
Ste E
Texarkana, TX 75503
Phone (903) 792-7435

1802 Moores Ln
Texarkana, TX 75503
Phone (903) 306-0711

1802 Moores Ln
Ste 100
Texarkana, TX 75503
Phone (903) 306-0711

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nikki.scott.p1@direct.precisionspinecare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1619676418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034609",
            "telephone_number": "903-306-0711",
            "fax_number": "903-306-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034609",
            "telephone_number": "903-306-0711",
            "fax_number": "903-306-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NIKKI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1110438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.