Active NPI
Mary C. Scoigletti, APRN
- Family Nurse Practitioner
- Yorkville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209004264
- Practice address
- 100 W Veterans Pkwy
Yorkville, IL 60560-1827 - Phone
- (866) 825-3227
- Fax
- (484) 351-3800
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001512 | FL | |
| Family Nurse Practitioner | 363LF0000X | 209004264 | IL | Primary |
Addresses
Primary practice location
100 W Veterans Pkwy
Yorkville, IL 60560-1827
Mailing address
161 Washington St
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227
Other practice location 1
22829 State Road 54
Land O Lakes, FL 34639-5227
Phone (813) 915-5459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radial Health Southeast LLC | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Family | Current | Accepting new patients |
| Radial Health SC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| CH MH Services (Az), LLC | Past | Accepting new patients |
Locations
22829 State Road 54
Land O Lakes, FL 34639
Phone (813) 949-0464
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
26895 Network Pl
Chicago, IL 60673
29373 Network Pl
Chicago, IL 60673
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
Interoperability endpoints
- mary.scoigletti@489656322949124.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Rehabilitation Medicine Specialists
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1215954185
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
-
dba Charlie Health
- Adolescent and Children Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1306442744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1891884169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST",
"address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W VETERANS PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601827",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [
{
"address_1": "22829 State Road 54",
"address_purpose": "LOCATION",
"city": "Land O Lakes",
"state": "FL",
"postal_code": "346395227",
"country_code": "US",
"telephone_number": "813-915-5459",
"fax_number": "813-345-8172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOIGLETTI",
"first_name": "MARY",
"middle_name": "C.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001512",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209004264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.