Individual provider Active NPI

Kathleen Ann Scutella, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1326316266
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011705 Issued in PA
Practice address
145 W 23Rd St
Suite 303
Erie, PA 16502-2858
Phone
(814) 452-7800
Fax
(814) 452-7915
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011705 PA Primary

Addresses

Primary practice location

145 W 23Rd St
Suite 303
Erie, PA 16502-2858

Mailing address

145 W 23Rd St
Suite 303
Erie, PA 16502-2858
Phone (814) 452-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kscutella148934@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
I20120306000123 PA Practitioner - Nurse Practitioner 6103085576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

145 W 23Rd St
Erie, PA 16502-2858

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

287 N St
Meadville, PA 16335-2521

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 Feb 1, 2012 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

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

315 York St
Corry, PA 16407
Phone (814) 664-8686

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

145 W 23rd St
Ste 303
Erie, PA 16502
Phone (814) 452-7800

287 North St
Meadville, PA 16335
Phone (814) 337-2355

Interoperability endpoints

  • Direct secure messaging: kscutella148934@direct.ahn.org

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1326316266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 23RD ST",
            "address_2": "SUITE 303",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022858",
            "telephone_number": "814-452-7800",
            "fax_number": "814-452-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 23RD ST",
            "address_2": "SUITE 303",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022858",
            "telephone_number": "814-452-7800",
            "fax_number": "814-452-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUTELLA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscutella148934@direct.ahn.org",
            "affiliation": "N",
            "address_1": "145 W 23rd St",
            "address_2": "Suite 303",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.