MARY C. SCOIGLETTI (APRN) – Family Nurse Practitioner, NPI 1891884169
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY C. SCOIGLETTI (APRN)
22829 State Road 54
Land O Lakes, FL 346395227
Phone: (813) 915-5459
Fax: (813) 345-8172
Type: Location
U.S. Realty Capital, 161, Washington Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 194282083
Phone: (866) 825-3227
Fax: (484) 351-3800
Type: Mailing
Walgreens, 100, West Veterans Parkway, Yorkville, Bristol Township, Kendall County, Illinois, 60560, United States
YORKVILLE, IL 605601827
Phone: (866) 825-3227
Fax: (484) 351-3800
Type: Location
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: 2019-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041210000023 | I | Nurse Practitioner | IL | TBD |
| I20190906001329 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34639)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Nurse Practitioner | MI | |
| Physical Medicine And Rehabilitation | AL | |
| Physical Medicine And Rehabilitation | FL | |
| Infectious Disease, Internal Medicine | AZ | |
| Nurse Practitioner | TX |
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