Individual provider Active NPI

Crystal E. Scott, APRN

  • Primary Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1831431931
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
18174 Issued in SC
Practice address
1614 Main Street Ste C
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2860
Phone
(803) 451-6133
Fax
(803) 726-2210
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18174 SC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 18174 SC
Primary Care Nurse Practitioner 363LP2300X 18174 SC Primary

Addresses

Primary practice location

1614 Main Street Ste C
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2860

Mailing address

1624 Main Street
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2818
Phone (803) 726-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130701000378 SC Practitioner - Nurse Practitioner 8921248659 Reassigns benefits to 3 organizations
I20230508001526 UT Practitioner - Nurse Practitioner 8921248659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18174SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jun 13, 2022 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Dec 13, 2013 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince May 1, 2023 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Dec 13, 2013 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 14, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1831431931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012818",
            "telephone_number": "803-726-2350",
            "fax_number": "803-753-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 MAIN STREET STE C",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012860",
            "telephone_number": "803-451-6133",
            "fax_number": "803-726-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CRYSTAL",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18174",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18174",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "18174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.