Hannah Scoccolo

Individual provider Active NPI Rehabilitation Practitioner · Henderson, NV

NPI 1689505653 · NPPES record last updated May 27, 2026

Key facts

NPI
1689505653
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443
Phone
(702) 823-4300
Fax
(702) 906-1844
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Scoccolo Family Medicine PLLC Current Accepting new patients

Locations

98 E Lake Mead Pkwy
Ste 105
Henderson, NV 89015
Phone (253) 376-4234

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
225400000X Yes

Addresses

Primary practice location

98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443

Mailing address

98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443
Phone (702) 823-4300

Other providers in Henderson, NV

All providers in Henderson, NV · Rehabilitation Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.