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SCOTT G VANDAWALKER NP
NPI 1194896753
Nurse Practitioner - Family in Las Cruces, NM

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
2800 DORAL CT, LAS CRUCES, NM 88011(575) 521-0055(575) 521-0077 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott G Vandawalker Np NPPES

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

SCOTT G VANDAWALKER NP (NPI 1194896753) is an individual family provider in Las Cruces, New Mexico, licensed in New Mexico (81513) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1194896753
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSCOTT G VANDAWALKERCredential: NP
Location Address2800 DORAL CTLas Cruces, NM 88011-8616
Mailing Address2800 Doral CtLas Cruces, NM 88011-8616 · (575) 521-0055 · Fax (575) 521-0077
Phone(575) 521-0055
Fax(575) 521-0077
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1194896753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 81513
2800 DORAL CT, Las Cruces, NM 88011
Open in Google Maps ↗

Other Identifiers 2

Medicaid000H1034NM
Medicaid98001574CO

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

Scott G Vandawalker Np 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 ID3476568023
PECOS Enrollment IDI20260225003997
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 88011 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 3

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

KATHLEEN A STEVENS NP
Nurse Practitioner (Primary Care)
2800 DORAL CT
LAS CRUCES, NM 88011
Doña Ana County (575) 521-0055
DR. RAHA M. MOBARAK DPM
Podiatrist (Foot & Ankle Surgery)
2800 DORAL CT
LAS CRUCES, NM 88011
Doña Ana County (575) 521-0055
DR. CARLOS A CADENA DPM
Podiatrist (Foot & Ankle Surgery)
2800 DORAL CT, STE A
LAS CRUCES, NM 88011
Doña Ana County (575) 521-0055

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 Vandawalker's NPI number?

The NPI number for Scott Vandawalker is 1194896753. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Scott Vandawalker located?

Scott Vandawalker practices at 2800 Doral Ct, Las Cruces, NM 88011. The listed phone number is (575) 521-0055.

What is Scott Vandawalker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Vandawalker enrolled in Medicare?

Yes. Scott Vandawalker 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.

When was this NPI record last updated?

The NPPES record for Scott Vandawalker was last updated on January 21, 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.