Jackie Marie Scotting, RN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Humboldt, SD

NPI 1831984483 · NPPES record last updated Apr 16, 2026

Key facts

NPI
1831984483
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
R042436 (SD)
Practice address
26506 456TH Ave
Humboldt, SD 57035-6801
Phone
(605) 261-7167
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R042036SDMDRegistered Nurse
R042436SDMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R042036 SD
Critical Care Medicine Registered Nurse 163WC0200X R042436 SD Yes

Addresses

Primary practice location

26506 456TH Ave
Humboldt, SD 57035-6801

Mailing address

26506 456TH Ave
Humboldt, SD 57035-6801
Phone (605) 261-7167

Other providers in Humboldt, SD

All providers in Humboldt, SD · Critical Care Medicine Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.