MR. KEEGAN MICHAEL SCOFIELD NP NPI 1669192589

NPI Information

  • NPI: 1669192589
  • Provider Name: MR. KEEGAN MICHAEL SCOFIELD, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23 W MARKET ST STE 101
    CORNING, NY
    ZIP 14830
  • Phone: (607) 846-3960

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NPI Details

MR. Keegan Michael Scofield, NP is a family nurse practitioner in Corning, NY with 4 years of experience. MR. Keegan Michael Scofield, NP NPI is 1669192589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 W MARKET ST STE 101
CORNING, NY
ZIP 14830-600
Phone: (607) 846-3960
Fax: (607) 973-2309

The NPI 1669192589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2022 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily350032NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669192589MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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