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MR. SCOTT MANWELL MCCORMICK CRNA
NPI 1255394581
Nurse Anesthetist, Certified Registered in Wichita, KS

Active since April 08, 2006PECOS Enrolled
2017 W HARBORLIGHT CT, WICHITA, KS 67204(316) 832-2331(316) 755-1798 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2020, Jun 3, 2020 (2 updates tracked since 2020).

About Mr. Scott Manwell Mccormick Crna NPPES

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

MR. SCOTT MANWELL MCCORMICK CRNA (NPI 1255394581) is an individual nurse anesthetist, certified registered in Wichita, Kansas, licensed in Kansas (13-39046-091) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255394581
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SCOTT MANWELL MCCORMICKCredential: CRNA
Location Address2017 W HARBORLIGHT CTWichita, KS 67204-2577
Mailing Address2017 W Harborlight CtWichita, KS 67204-2577 · (316) 832-2331 · Fax (316) 755-1798
Phone(316) 832-2331
Fax(316) 755-1798
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1255394581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KS · 13-39046-091
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2017 W HARBORLIGHT CT, Wichita, KS 67204
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Secondary Practice Locations 3

Location 1206 S Grand AveSaint Marys, KS 66536-1637 · Phone (785) 437-3734 · Fax (785) 437-6186
Location 2120 W 8th StOnaga, KS 66521-9574 · Phone (785) 889-4274 · Fax (785) 889-4714
Location 31603 W 4th StHolton, KS 66436-1153

Other Identifiers 2

Medicaid100252460EKS
Other144564KS · Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott Manwell Mccormick Crna 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.

Medicare Billing Reassignment

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

Ict Anesthesia Solutions LLC
8.5 mi
Nurse Anesthetist, Certified Registered
1861 N WEBB RD
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 5 clinicians in this Medicare group
NPI 1932873759 (316) 688-7500

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 67204 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mccormick's NPI number?

The NPI number for Scott Mccormick is 1255394581. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Scott Mccormick located?

Scott Mccormick practices at 2017 W Harborlight Ct, Wichita, KS 67204. The listed phone number is (316) 832-2331.

What is Scott Mccormick's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Scott Mccormick enrolled in Medicare?

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

Which organization bills Medicare for Scott Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Mccormick reassigns Medicare benefits to Ict Anesthesia Solutions LLC (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Mccormick was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.