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STACY ANN SCOTT REGISTERED NURSE
NPI 1104461334
Registered Nurse in Jacksonville, FL

Active since November 12, 2019PECOS Enrolled
13300 ATLANTIC BLVD APT 123, JACKSONVILLE, FL 32225(904) 896-6201 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Ann Scott Registered Nurse NPPES

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

STACY ANN SCOTT REGISTERED NURSE (NPI 1104461334) is an individual registered nurse in Jacksonville, Florida, licensed in Florida (9360429) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104461334
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTACY ANN SCOTTCredential: REGISTERED NURSE
Location Address13300 ATLANTIC BLVD APT 123Jacksonville, FL 32225-6128
Mailing Address13300 Atlantic Blvd Apt 123Jacksonville, FL 32225-6128 · (904) 896-6201
Phone(904) 896-6201
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 12, 2019
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1104461334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in FL · 9360429
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
13300 ATLANTIC BLVD APT 123, Jacksonville, FL 32225
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Other Identifiers 1

MedicaidS356-781-66-866-0FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Ann Scott Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385122027
PECOS Enrollment IDI20260203001697
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.

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 Stacy Scott's NPI number?

The NPI number for Stacy Scott is 1104461334. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Stacy Scott located?

Stacy Scott practices at 13300 Atlantic Blvd Apt 123, Jacksonville, FL 32225. The listed phone number is (904) 896-6201.

What is Stacy Scott's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Stacy Scott enrolled in Medicare?

Yes. Stacy Scott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Scott was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.