IVAN EARL SCOTT
NPI 1770474967
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Ivan Scott's NPI number?

The NPI number for Ivan Scott is 1770474967. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Ivan 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 Ivan Scott was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 14, 2025PECOS Enrolled

2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121(215) 320-6187 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ivan Earl Scott NPPES

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

IVAN EARL SCOTT (NPI 1770474967) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031835) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770474967

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameIVAN EARL SCOTT

Location Address2144 CECIL B MOORE AVEPhiladelphia, PA 19121-4014

Mailing Address2144 Cecil B Moore AvePhiladelphia, PA 19121-4014 · (215) 320-6187

Phone(215) 320-6187

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1770474967 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 PA · SP031835

2144 CECIL B MOORE AVE, Philadelphia, PA 19121

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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)

Ivan Earl Scott is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365934692

PECOS Enrollment IDI20251125000371

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 19121 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

MRS. OLUWASEYI AYODEJI OLASUPO NP

Nurse Practitioner (Psychiatric/Mental Health)