Individual provider Active NPI

Farhana Hamid-Scanlin, DNP, FNP-BC

  • Family Nurse Practitioner
  • Beloit, WI
National Provider Identifier
1760815641
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9118-33 Issued in WI
Practice address
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone
(608) 361-0311
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.14704-NP OH
Family Nurse Practitioner 363LF0000X 9118-33 WI Primary

Addresses

Primary practice location

74 Eclipse Ctr
Beloit, WI 53511-3550

Mailing address

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130920000184 OH Practitioner - Nurse Practitioner 2860636404 Reassigns benefits to 1 organization
I20190621002604 WI Practitioner - Nurse Practitioner 2860636404
I20230427000800 TX Practitioner - Nurse Practitioner 2860636404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakama Indian Health CenterGroup PAC ID 0749206985, 11 clinicians

Practice addresses (Care Compare)

401 Buster Rd
Toppenish, WA 98948-9792
Phone (509) 865-1705

Hospital & facility affiliations

  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14704-NPOHMDFamily Nurse Practitioner
9118-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yakama Indian Health Center CurrentSince Jan 18, 2023 Accepting new patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers Inc CurrentSince Mar 1, 2019 Accepting new patients
Hopewell Health Centers Inc Past Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006

401 Buster Rd
Toppenish, WA 98948
Phone (509) 865-1705

Interoperability endpoints

  • Direct secure messaging: fhamidscanlin280354@direct.ochin.org

Organizations & group practices 4

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.

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1760815641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID-SCANLIN",
        "first_name": "FARHANA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14704-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9118-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.