Individual provider Active NPI

E'Liza Scott, NP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1811590185
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307432 Issued in MI
Practice address
18610 Fenkell St
Detroit, MI 48223-2378
Phone
(313) 723-6000
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704307432 MI Primary

Addresses

Primary practice location

18610 Fenkell St
Detroit, MI 48223-2378

Mailing address

14903 Artesian St
Detroit, MI 48223-2283

Other practice location 1

301 N Main St
Sheridan, MI 48884-9235
Phone (303) 390-1940

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608000637 MI Practitioner - Nurse Practitioner 5597155408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC CurrentSince Dec 9, 2024 Accepting new patients
Team Wellness Center CurrentSince Apr 27, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Dec 9, 2024 Accepting new patients
Happy at Home LLC CurrentSince Nov 22, 2020 Accepting new patients
Rural Physicians Group-Pannu PLLC CurrentSince Sep 4, 2025 Accepting new patients
Team Mental Health Services Inc. CurrentSince Apr 27, 2022 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients
Rural Physicians Group-Pannu PLLC Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

18610 Fenkell St
Detroit, MI 48223
Phone (313) 723-6000

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

Organizations & group practices 8

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 3

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1811590185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 ARTESIAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232378",
            "telephone_number": "313-723-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "MI",
            "postal_code": "488849235",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "E'LIZA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.