Individual provider Active NPI

Jacey Candice Scott, CRNP

  • Acute Care Nurse Practitioner
  • Madison, AL
National Provider Identifier
1861082448
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-160632 Issued in AL
Practice address
7500 Highway 72 W
Madison, AL 35758-9554
Phone
(256) 964-8338
NPI assigned
Jan 19, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-160632 AL Primary

Addresses

Primary practice location

7500 Highway 72 W
Madison, AL 35758-9554

Mailing address

7500 Highway 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20210928003009 AL Practitioner - Nurse Practitioner 8921405333 Reassigns benefits to 4 organizations
I20260520004175 FL Practitioner - Nurse Practitioner 8921405333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

Rockford, AL 35136
Phone (769) 243-6141

1860 SW Fountainview Blvd
Suite 1055
Port St Lucie, FL 34986-4535
Phone (769) 243-6141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-160632ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Dec 17, 2025 Accepting new patients
QC Wellness, LLC CurrentSince Jun 2, 2021 Accepting new patients
Quick Care Urgent, LLC CurrentSince Jun 2, 2021 Accepting new patients
Wound Management Specialists, LLC CurrentSince Oct 9, 2024 Accepting new patients
Quickcare RX LLC PastSince Jun 2, 2021 Accepting new patients
QC Pharmacy LLC PastSince Jan 24, 2021 Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

1860 SW Fountainview Blvd
Ste 1055
Port St Lucie, FL 34986

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Organizations & group practices 6

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1861082448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554",
            "telephone_number": "256-964-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554",
            "telephone_number": "256-964-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JACEY",
        "middle_name": "CANDICE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-160632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.