DR. SCOT KENNETH CANFIELD PHD,APN-BC
NPI 1104989862
Nurse Practitioner in Cordova, TN

Q: What is Scot Canfield's NPI number?

The NPI number for Scot Canfield is 1104989862. It was assigned to this individual provider in the NPPES registry on December 17, 2006.

Q: What is Scot Canfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Scot Canfield was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 17, 2006PECOS Enrolled

993 CORDOVA STATION AVE, CORDOVA, TN 38018(901) 737-4565 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Scot Kenneth Canfield Phd,apn-bc NPPES

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

DR. SCOT KENNETH CANFIELD PHD,APN-BC (NPI 1104989862) is an individual nurse practitioner in Cordova, Tennessee, licensed in Arkansas (S01124CNS) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1994).

NPPES Registry Identity

NPI1104989862

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDR. SCOT KENNETH CANFIELDCredential: PHD,APN-BC

Location Address993 CORDOVA STATION AVECordova, TN 38018-6317

Mailing Address993 Cordova Station AveCordova, TN 38018-6317 · (901) 737-4565

Phone(901) 737-4565

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1994

Enumeration DateDecember 17, 2006

Last NPPES UpdateApril 1, 2026

NPPES CertifiedApril 1, 2026

✔ NPI 1104989862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AR · S01124CNS✔ Licensed in TN · 25684

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License 01765 (AR)

993 CORDOVA STATION AVE, Cordova, TN 38018

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Other Identifiers 1

Medicaid169462795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scot Kenneth Canfield Phd,apn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092704346

PECOS Enrollment IDI20260217001619

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.

Medicare Billing Reassignment

Medicare enrollment records show Scot Canfield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cordova Psychiatric Associates

Same address

Community/Behavioral Health

993 CORDOVA STATION AVE
Cordova, TN 38018

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1386899300 (901) 737-4565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK ALLEN HESSELRODE APN

Nurse Practitioner (Psychiatric/Mental Health)