MRS. KASSANDRA ROSE SCOTT (NP) – Family Nurse Practitioner, NPI 1487011383

MRS. KASSANDRA ROSE SCOTT (NP) is a healthcare provider. based in Pine bluff, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. A004633 (AR). The NPI Number for MRS. KASSANDRA ROSE SCOTT (NP) is 1487011383

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KASSANDRA ROSE SCOTT (NP)
NPI
1487011383
Phone
(870) 541-7100
Address
1600 W 40TH AVE
Enumeration Date
22 January 2016
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705418660
Graduation Year
2015 (11 years ago)
PAC ID
3476859430
Group Practice PAC ID
6204146319
Professional Enrollment ID
I20160317000526
Address ID
AR716037016PI4201XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MRS. KASSANDRA ROSE SCOTT (NP)

  • Jefferson Regional Medical Center, 1600, West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States

    PINE BLUFF, AR 716036301

    Phone: (870) 541-7100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160317000526INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making147144$0
99284Emergency department visit with moderate level of medical decision making137130$0
View full utilization report →

Insurance plans in this area (ZIP 71603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204146319View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Family Practice, Emergency MedicineAR
Emergency Medicine, Family PracticeAR
Emergency MedicineAR
Nurse PractitionerAR
-TX
-AR

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. KASSANDRA ROSE SCOTT (NP)'s NPI?
Yes. MRS. KASSANDRA ROSE SCOTT (NP) is listed with NPI 1487011383 in the public NPI dataset.
Is MRS. KASSANDRA ROSE SCOTT (NP) still practicing?
MRS. KASSANDRA ROSE SCOTT (NP) is currently listed as active in the public NPI registry.
What is MRS. KASSANDRA ROSE SCOTT (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. KASSANDRA ROSE SCOTT (NP) here. Clinical services aligned with this taxonomy classification.
What area does MRS. KASSANDRA ROSE SCOTT (NP) serve?
MRS. KASSANDRA ROSE SCOTT (NP)'s listing highlights Pine Bluff, Arkansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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