Individual provider Active NPI

Kelley Scott, NP

  • Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1790965549
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00139800 Issued in NJ
Practice address
853 Mill Creek Rd
Manahawkin, NJ 08050-4562
Phone
(609) 756-4667
Fax
(302) 224-2848
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00139800 NJ Primary

Addresses

Primary practice location

853 Mill Creek Rd
Manahawkin, NJ 08050-4562

Mailing address

PO Box 3012
Wilmington, DE 19804-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000525 NJ Practitioner - Nurse Practitioner 3072603141 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

853 Mill Creek Rd
Suite 1B
Manahawkin, NJ 08050-4562
Phone (609) 756-4667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well Primary Care Services CurrentSince May 16, 2021 Accepting new patients
Well Urgent Care Services CurrentSince Jul 12, 2021 Accepting new patients
Well Hydration and Skincare CurrentSince Nov 17, 2024 Accepting new patients
Route Intensivists Services LLC CurrentSince Apr 15, 2020 Accepting new patients
Main Line Emergency Med Associates LLC Past Accepting new patients

Locations

853 Mill Creek Rd
Ste 1B
Manahawkin, NJ 08050
Phone (609) 756-4667

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

853 Mill Creek Rd
Stafford Twp, NJ 08050
Phone (609) 374-4178

Interoperability endpoints

  • Direct secure messaging: kelley.toffoli@321801745203204.direct.elationemr.com

Organizations & group practices 7

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 1

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1790965549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MILL CREEK RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080504562",
            "telephone_number": "609-756-4667",
            "fax_number": "302-224-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KELLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00139800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.