DR. SCOTT DIVACK DO
NPI 1194515783
Student in an Organized Health Care Education/Training Program in Harrisburg, PA
About Dr. Scott Divack Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT DIVACK DO (NPI 1194515783) is an individual student in an organized health care education/training program in Harrisburg, Pennsylvania and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Scott Divack Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
HARRISBURG, PA 17101
HARRISBURG, PA 17101
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 Divack's NPI number?
The NPI number for Scott Divack is 1194515783. It was assigned to this individual provider in the NPPES registry on May 8, 2025.
Where is Scott Divack located?
Scott Divack practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-3131.
What is Scott Divack's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Scott Divack enrolled in Medicare?
Yes. Scott Divack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Scott Divack was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 Divack, DO · NPI 1194515783
Student in an Organized Health Care Education/Training Program provider in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1194515783 (Entity type: Individual)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S FRONT ST, Harrisburg, PA 17101-2010
- **Phone:** (717) 782-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194515783) · Data from the CMS NPPES public registry.