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RACHEL SCOTT NP
NPI 1285270736
Nurse Practitioner - Family in Grand Haven, MI

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1310 WISCONSIN ST, STE 301, GRAND HAVEN, MI 49417(616) 296-1550(616) 296-1552 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Mar 17, 2020, Nov 20, 2019 (3 updates tracked since 2019).

About Rachel Scott Np NPPES

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

RACHEL SCOTT NP (NPI 1285270736) is an individual family provider in Grand Haven, Michigan, licensed in Michigan (4704285391) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285270736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL SCOTTCredential: NP
Location Address1310 WISCONSIN ST, STE 301Grand Haven, MI 49417-2472
Mailing AddressPo Box 776982Chicago, IL 60677-6982 · (800) 494-5797
Phone(616) 296-1550
Fax(616) 296-1552
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2019
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1285270736 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 MI · 4704285391
1310 WISCONSIN ST, Grand Haven, MI 49417
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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

Rachel Scott 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 ID1456785633
PECOS Enrollment IDI20191220001280
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
113 services56 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
56 services53 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services35 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
36 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services26 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.75
Promoting Interoperability98
Improvement Activities40

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.

LAUREN ELAINE MALINOWSKI MSW
Social Worker
1310 WISCONSIN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500
STANLEY HAEGERT MD
Family Medicine
1310 WISCONSIN ST, SUITE 103
GRAND HAVEN, MI 49417
Ottawa County (616) 846-2640
MARILENA C ORAVITAN MD
Internal Medicine
1310 WISCONSIN ST, SUITE 100
GRAND HAVEN, MI 49417
Ottawa County (616) 844-4701

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 Rachel Scott's NPI number?

The NPI number for Rachel Scott is 1285270736. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Rachel Scott located?

Rachel Scott practices at 1310 Wisconsin St Ste 301, Grand Haven, MI 49417. The listed phone number is (616) 296-1550.

What is Rachel Scott's specialty?

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

Is Rachel Scott enrolled in Medicare?

Yes. Rachel Scott 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.

What insurance does Rachel Scott accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Rachel Scott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Scott affiliated with any hospitals?

According to CMS data, Rachel Scott is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Scott was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.