Active NPI
Elizabeth Joy Scott, DNP, NP-C
- Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704226222
- Practice address
- 220 Cherry St SE
Grand Rapids, MI 49503-4608 - Phone
- (616) 685-5050
- Fax
- (616) 685-8962
- NPI assigned
- Apr 11, 2019
- Last updated
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704226222 | MI | |
| Neuroscience Registered Nurse | 163WN0800X | 00330383 | MI | |
| Nurse Practitioner | 363L00000X | 4704226222 | MI | Primary |
Addresses
Primary practice location
220 Cherry St SE
Grand Rapids, MI 49503-4608
Mailing address
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
245 Cherry St SE
Suite 200
Grand Rapids, MI 49503-4607
Phone (616) 685-3330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00330383 | MI | MD | Neuroscience Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health/Saint Mary's Medical Group | Current | Accepting new patients | |
| Mercy Health Partners - Physician Specialist | Nurse Practitioner | Current | Accepting new patients |
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576
245 Cherry St SE
Ste 200
Grand Rapids, MI 49503
Phone (616) 685-3330
1150 E Sherman Blvd
Ste 2400
Muskegon, MI 49444
Phone (231) 672-4243
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
Interoperability endpoints
- elizabeth.scott.1@28492.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
Nurse Practitioner
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1790248250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034608",
"telephone_number": "616-685-5050",
"fax_number": "616-685-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034608",
"telephone_number": "616-685-5050",
"fax_number": "616-685-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"credential": "DNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704226222",
"primary": false
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "MI",
"license": "00330383",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704226222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.