Amanda Catherine Scott, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704217937 Issued in MI

Practice address

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624

Phone

(989) 366-2900

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Catherine Janisse Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ascott4@direct.mhc.net

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.

• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992

  Nurse Practitioner

  Medicare reassignment NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Mio, MI
  • NPI 1093349698
  NPD
• Munson Healthcare Grayling

  • Family Medicine Physician
  • Grayling, MI
  • NPI 1699275750
  NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Prudenville, MI
  • NPI 1144626052
  NPD (past)
• Munson Healthcare Grayling

  • Family Medicine Physician
  • Roscommon, MI
  • NPI 1598131617
  NPD (past)
• Munson Healthcare Grayling

  • Family Medicine Physician
  • Prudenville, MI
  • NPI 1952787129
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1942561964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3779 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895337",
            "telephone_number": "989-366-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624",
            "telephone_number": "989-366-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W North Down River Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497388024",
            "country_code": "US",
            "telephone_number": "989-344-5910",
            "fax_number": "231-935-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AMANDA",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704217937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ascott4@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 W North Down River Rd Ste C",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497388024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JANISSE",
            "middle_name": "CATHERINE",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Siddhartha Sean Sarkar
• Allison Sauve
• Sue Lynn Schantz
• Paige Cheyenne Schlaff
• Laura Schleicher
• Molly Scott I, M.ED
• Karli Jo. Sedlacek
• Jeremy Charles Seymour
• Ashley Elise Shelton
• Danielle Nichole Shepherd

• Adult Health Nurse Practitioner in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.

Verify at the official NPI Registry.