Individual provider Active NPI

Scott Caldwell, CRNP

  • Primary Care Nurse Practitioner
  • Erie, PA
National Provider Identifier
1114435088
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP018430 Issued in PA
Practice address
311 W 24TH St Ste 101
Erie, PA 16502-2668
Phone
(814) 452-4214
NPI assigned
Jan 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP018430 PA Primary

Addresses

Primary practice location

311 W 24TH St Ste 101
Erie, PA 16502-2668

Mailing address

311 W 24TH St Ste 101
Erie, PA 16502-2668
Phone (814) 452-4214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scaldwell154477@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530000173 PA Practitioner - Nurse Practitioner 4385909035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 W 24TH St
101 St Vincent Allied Urology
Erie, PA 16502-2668
Phone (814) 452-4214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Apr 19, 2018 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

311 W 24th St
Ste 101
Erie, PA 16502
Phone (814) 333-9200

311 W 24th St
Erie, PA 16502
Phone (814) 452-4214

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1114435088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022668",
            "telephone_number": "814-452-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022668",
            "telephone_number": "814-452-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SCOTT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-13",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scaldwell154477@direct.ahn.org",
            "affiliation": "N",
            "address_1": "311 W 24th St Ste 101",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.