BROOKE SCUPP
NPI 1093309668
Physician Assistant - Medical in Irmo, SC

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
473 WOODHOUSE LOOP, IRMO, SC 29063(803) 422-3754 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Scupp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE SCUPP (NPI 1093309668) is an individual medical provider in Irmo, South Carolina and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093309668
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBROOKE SCUPP
Location Address473 WOODHOUSE LOOPIrmo, SC 29063-7781
Mailing Address473 Woodhouse LoopIrmo, SC 29063-7781 · (803) 422-3754
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 6, 2021
NPI 1093309668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
473 WOODHOUSE LOOP, Irmo, SC 29063

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brooke Scupp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648776914
PECOS Enrollment IDI20251113001279
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

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 Brooke Scupp's NPI number?

The NPI number for Brooke Scupp is 1093309668. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Brooke Scupp located?

Brooke Scupp practices at 473 Woodhouse Loop, Irmo, SC 29063. The listed phone number is (803) 422-3754.

What is Brooke Scupp's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brooke Scupp enrolled in Medicare?

Yes. Brooke Scupp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brooke Scupp accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Brooke Scupp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brooke Scupp affiliated with any hospitals?

According to CMS data, Brooke Scupp is affiliated with Baptist Memorial Hospital Desoto and Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Brooke Scupp was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.