Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicorya Scott, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1073270609

Nicorya Scott, NURSEPRACTITIONER is a Nurse Practitioner in Southfield, Michigan. Qualified in 2018, 8 years ago. Practices with Metro Infectious Disease Consultants LLC, a 391-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Phone: (313) 969-7292
Fax: (313) 731-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704273449 (MI)

Record details

NPI number1073270609
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address21701 W 11 Mile Rd Ste 11, Southfield, MI 48076-3713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Metro Infectious Disease Consultants Llc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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