Scott Michael Pethan, MS, BSN, RN
NPI 1598039943ActiveIndividual· Clinical Exercise Physiologist· Oshkosh, WI
Clinical Exercise Physiologist (MS, BSN, RN) in Oshkosh, Wisconsin, licensed in WI, with an NPI issued in March 2012.
Overview
| NPI | 1598039943 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, BSN, RN |
| Sole proprietor | Yes |
| NPI issued | Mar 2, 2012 |
| Last updated in NPPES | Mar 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Exercise Physiologist Primary | 224Y00000X | 136064-30 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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