Individual provider Active NPI

Scot Eric West

  • Psychiatric/Mental Health Nurse Practitioner
  • East Chicago, IN
National Provider Identifier
1851896013
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71008166A Issued in IN
Practice address
4320 Fir St Unit 217
East Chicago, IN 46312
Phone
(219) 392-7025
NPI assigned
Mar 28, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71008166A IN Primary
Registered Nurse 163W00000X 28174234A IN

Addresses

Primary practice location

4320 Fir St Unit 217
East Chicago, IN 46312

Mailing address

85 Hawick Dr
Valparaiso, IN 46385-9331
Phone (219) 742-2761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181015002062 IN Practitioner - Nurse Practitioner 8527310887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

4320 Fir St
Unit 216
East Chicago, IN 46312-3076
Phone (219) 392-7025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28174234AINMDRegistered Nurse
71008166AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc CurrentSince Nov 1, 2020 Accepting new patients
219 Health Network, Inc. CurrentSince Nov 1, 2020 Accepting new patients
219 Health Network, Inc. Past Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

4320 Fir St
Unit 216
East Chicago, IN 46312
Phone (219) 392-7025

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Interoperability endpoints

  • Direct secure messaging: swest10840@ssdirect.comhs.org

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.

Hospital & facility affiliations 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1851896013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HAWICK DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859331",
            "telephone_number": "219-742-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FIR ST UNIT 217",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-392-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SCOT",
        "middle_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008166A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28174234A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.