GWENDOLYN SCOTT (DNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700331311

GWENDOLYN SCOTT (DNP, PMHNP-BC) is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP-BC. They hold a License No. A119964 (IA). The NPI Number for GWENDOLYN SCOTT (DNP, PMHNP-BC) is 1700331311

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
GWENDOLYN SCOTT (DNP, PMHNP-BC)
NPI
1700331311
Phone
(217) 919-9139
Address
4409 Maine St Ste 100
Enumeration Date
24 August 2016
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3195245734
Graduation Year
2023 (3 years ago)
PAC ID
0446547202
Group Practice PAC ID
4486562527
Professional Enrollment ID
I20240130003023
Address ID
IA526323452KE400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GWENDOLYN SCOTT (DNP, PMHNP-BC)

  • 4409 Maine St Ste 100

    Quincy, IL 623055849

    Phone: (217) 919-9139

    Fax: (217) 223-0413

    Type: Location

  • 612 N 11TH ST

    QUINCY, IL 623012662

    Phone: (217) 224-9484

    Fax: (217) 224-7950

    Type: Location

  • 5409 AVENUE O

    FORT MADISON, IA 526279601

    Phone: (319) 376-2134

    Fax: (319) 376-2188

    Type: Mailing

  • 2591 Holiday Rd

    Coralville, IA 522413039

    Phone: (319) 467-7150

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 467-7150

    Type: Mailing

  • 2591 HOLIDAY RD

    CORALVILLE, IA 522413039

    Phone: (319) 467-7150

    Type: Location

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-8000

    Fax: (844) 470-2486

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($125).

Total Amount

$176

General + Research + Ownership

Payments

4

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160921001958INurse PractitionerIATBD
I20240130003023INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9995$0
36415Insertion of needle into vein for collection of blood sample2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
81003Automated urinalysis test1414$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1212$0
View full utilization report →

Insurance plans in this area (ZIP 62305)

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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: 4486562527View full group profile
NameSpecialtyState
Nurse PractitionerIA
P S Y C H I A T R YMO
-IA
Clinical Social WorkerOR
Nurse PractitionerIA
Nurse PractitionerIA
Clinical Social WorkerIA
-MI
Internal Medicine, Emergency MedicineKS
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is there an official ID for GWENDOLYN SCOTT (DNP, PMHNP-BC) in U.S. healthcare records?
The official identifier for GWENDOLYN SCOTT (DNP, PMHNP-BC) is NPI 1700331311.
Is there an active status for GWENDOLYN SCOTT (DNP, PMHNP-BC)?
For scheduling context, GWENDOLYN SCOTT (DNP, PMHNP-BC) is shown as active in the registry.
What expertise is attributed to GWENDOLYN SCOTT (DNP, PMHNP-BC)?
GWENDOLYN SCOTT (DNP, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is GWENDOLYN SCOTT (DNP, PMHNP-BC) registered?
Use Quincy, Illinois as the headline location for GWENDOLYN SCOTT (DNP, PMHNP-BC) here.
When was this NPI issued?
Enumeration for GWENDOLYN SCOTT (DNP, PMHNP-BC) is noted as August 24, 2016 where the registry provides it.

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