KELLY SCOTT FNP
NPI 1144694290
Nurse Practitioner in Rochester, MI

Q: What is Kelly Scott's NPI number?

The NPI number for Kelly Scott is 1144694290. It was assigned to this individual provider in the NPPES registry on November 30, 2015.

Q: What is Kelly Scott'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 Kelly Scott was last updated on July 2, 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.

Active since November 30, 2015PECOS Enrolled

1135 W UNIVERSITY DR STE 425, ROCHESTER, MI 48307(248) 650-5861(248) 650-5865 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, Feb 25, 2016, Nov 30, 2015 (3 updates tracked since 2015).

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About Kelly Scott Fnp NPPES

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

KELLY SCOTT FNP (NPI 1144694290) is an individual nurse practitioner in Rochester, Michigan, licensed in Michigan (4704212045) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Macomb.

NPPES Registry Identity

NPI1144694290

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY SCOTTCredential: FNP

Location Address1135 W UNIVERSITY DR STE 425Rochester, MI 48307-1897

Mailing Address1135 W University Dr Ste 425Rochester, MI 48307-1897 · (248) 650-5861 · Fax (248) 650-5865

Phone(248) 650-5861

Fax(248) 650-5865

Sole ProprietorNo

Enumeration DateNovember 30, 2015

Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1144694290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704212045

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.

1135 W UNIVERSITY DR STE 425, Rochester, MI 48307

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Secondary Practice Location 1

Location 115959 Hall Rd, #104Macomb, MI 48044-5363 · Phone (586) 884-2688

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Scott Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 7

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

MICHELLE R GUSTAFSON FNP-C

Nurse Practitioner (Family)