DANIELLE SCOTT (PA-C) – Physician Assistant, NPI 1609433697
Physician Assistant
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NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for DANIELLE SCOTT (PA-C)
2861, Madison Avenue, Nameoki, Granite City, Madison County, Illinois, 62040, United States
GRANITE CITY, IL 620403614
Phone: (618) 709-7723
Type: Location
Fawn Run, East Nottingham Township, Chester County, Pennsylvania, 19352, United States
CHESTER, IL 622333244
Phone: (618) 615-7112
Type: Mailing
9 Westwood Dr
Steeleville, IL 622881816
Phone: (618) 965-3466
Fax: (618) 965-9418
Type: Location
5383 State Route 154
Pinckneyville, IL 622743342
Phone: (618) 357-2131
Fax: (618) 357-8844
Type: Location
1300 N MARKET ST
SPARTA, IL 622861048
Phone: (618) 443-4138
Fax: (618) 443-3685
Type: Location
9 WESTWOOD DR
STEELEVILLE, IL 622881816
Phone: (618) 965-3466
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: 2019-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191017001132 | I | Physician Assistant | IL | 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 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| R H E U M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Family Practice | IL | |
| Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain Management | MO | |
| - | MO | |
| Physician Assistant | IL |
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