Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSE MICHAEL SCOTT
NPI 1710816848
Nurse Practitioner - Psychiatric/Mental Health in Wyoming, MI

Q: What is Jesse Scott's NPI number?

The NPI number for Jesse Scott is 1710816848. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Q: What is Jesse Scott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Scott was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since May 15, 2026PECOS Enrolled

2215 44TH ST SW, WYOMING, MI 49519(616) 252-8300 Get Directions Write a Review

NPPES record added: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2026, May 15, 2026 (2 updates tracked since 2026).

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About Jesse Michael Scott NPPES

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

JESSE MICHAEL SCOTT (NPI 1710816848) is an individual psychiatric/mental health provider in Wyoming, Michigan, licensed in Michigan (4704328512) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710816848

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJESSE MICHAEL SCOTT

Location Address2215 44TH ST SWWyoming, MI 49519-6439

Mailing Address1310 E Beltline Ave Se Ste 100Grand Rapids, MI 49506-4305 · (616) 252-8300

Phone(616) 252-8300

Sole ProprietorNo

Enumeration DateMay 15, 2026

Last NPPES UpdateJuly 19, 20262 updates tracked since enumeration

NPPES CertifiedJuly 19, 2026

✔ NPI 1710816848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704328512

2215 44TH ST SW, Wyoming, MI 49519

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Michael Scott 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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.

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.

BRANDI PAINE PAC

Physician Assistant