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MRS. GRETCHEN D SCOTT CNP
NPI 1336101849
Nurse Practitioner in Sioux Falls, SD

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1205 S. GRANGE AVE, STE 201, SIOUX FALLS, SD 57105(605) 328-8100(605) 328-8101 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Gretchen D Scott Cnp NPPES

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

MRS. GRETCHEN D SCOTT CNP (NPI 1336101849) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (SDRNR028760) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336101849
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. GRETCHEN D SCOTTCredential: CNP
Location Address1205 S. GRANGE AVE, STE 201Sioux Falls, SD 57105-0414
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8100
Fax(605) 328-8101
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 3, 2006
Last NPPES UpdateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1336101849 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 SD · SDRNR028760
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.
1205 S. GRANGE AVE, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Identifiers 1

Medicaid6828390SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, 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

Mrs. Gretchen D Scott Cnp 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 ID1658402862
PECOS Enrollment IDI20100703000043, I20110909002884
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 5

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

DR. H. BRUCE VOGT MD
Family Medicine
1205 S. GRANGE AVE, STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-0020
SANFORD CLINIC
Internal Medicine (Nephrology)
1205 S. GRANGE AVE, STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8100
DR. DANA BRANDYS D.O.
Internal Medicine (Nephrology)
1205 S. GRANGE AVE, STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8100
SANFORD CLINIC
Transplant Surgery
1205 S. GRANGE AVE, STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-9290
PAMELA M EPHGRAVE MD
Obstetrics & Gynecology
1205 S. GRANGE AVE, STE 301
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8160

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 Gretchen Scott's NPI number?

The NPI number for Gretchen Scott is 1336101849. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Gretchen Scott located?

Gretchen Scott practices at 1205 S. Grange Ave Ste 201, Sioux Falls, SD 57105. The listed phone number is (605) 328-8100.

What is Gretchen Scott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gretchen Scott enrolled in Medicare?

Yes. Gretchen 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 Gretchen Scott accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Gretchen 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 Gretchen Scott affiliated with any hospitals?

According to CMS data, Gretchen Scott is affiliated with Orange City Area Health System, Sanford Sheldon Medical Center, Sanford Luverne Medical Center, Prairie Lakes Healthcare System, Inc and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Gretchen Scott was last updated on February 15, 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.