DR. SCOTT E NICHOLLS MD
NPI 1063587947
Emergency Medicine in Woodbury, MN
About Dr. Scott E Nicholls Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT E NICHOLLS MD (NPI 1063587947) is an individual emergency medicine provider in Woodbury, Minnesota, licensed in Minnesota (49580) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Scott E Nicholls Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Scott Nicholls reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 218 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott Nicholls's NPI number?
The NPI number for Scott Nicholls is 1063587947. It was assigned to this individual provider in the NPPES registry on November 23, 2006.
Where is Scott Nicholls located?
Scott Nicholls practices at 1925 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 232-0228.
What is Scott Nicholls's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Scott Nicholls enrolled in Medicare?
Yes. Scott Nicholls is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Scott Nicholls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Nicholls reassigns Medicare benefits to 3 organizations: Healtheast Woodwinds Hospital (Woodbury, MN), Healtheast St. John's Hospital (Maplewood, MN) and Emergency Care Consultants, PA (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Nicholls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Scott Nicholls was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Scott E Nicholls, MD · NPI 1063587947
Emergency Medicine physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since November 23, 2006.
## Identity
- **NPI:** 1063587947 (Entity type: Individual)
- **Enumerated:** November 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 49580 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1925 WOODWINDS DR, Woodbury, MN 55125-2270
- **Phone:** (651) 232-0228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Emergency Care Consultants, PA (NPI 1669422788, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063587947) · Data from the CMS NPPES public registry.