Individual provider Active NPI

Shauna Marie Scutella, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgway, PA
National Provider Identifier
1245199223
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP034840 Issued in PA
Practice address
20 Gillis Ave
Ridgway, PA 15853-1604
Phone
(814) 772-5741
NPI assigned
Jan 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP034840 PA Primary

Addresses

Primary practice location

20 Gillis Ave
Ridgway, PA 15853-1604

Mailing address

1405 Bucktail Rd
Saint Marys, PA 15857-3213
Phone (814) 594-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1405 Bucktail Rd
Saint Marys, PA 15857-3213

1465 Foote Ave Ext
Jamestown, PA 14701-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP034840PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Psychiatric PC CurrentSince May 16, 2026 Accepting new patients
Jamestown Psychiatric PC CurrentSince May 16, 2026 Accepting new patients

Locations

20 Gillis Ave
Ridgway, PA 15853
Phone (716) 526-4041

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1245199223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BUCKTAIL RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573213",
            "telephone_number": "814-594-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILLIS AVE",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531604",
            "telephone_number": "814-772-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUTELLA",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP034840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, PA

Sources for this page

Verify at the official NPI Registry.