Individual provider Active NPI

Kelly A Scott, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
National Provider Identifier
1457406100
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
UP005628V Issued in PA
Practice address
701 Sharon Rd Ste 3
Beaver, PA 15009-3147
Phone
(724) 888-2186
Fax
(724) 888-2443
NPI assigned
Jan 24, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X UP005628V PA Primary
Women's Health Nurse Practitioner 363LW0102X UP005628V PA
Women's Health Nurse Practitioner 363LW0102X 15562-NP OH

Addresses

Primary practice location

701 Sharon Rd Ste 3
Beaver, PA 15009-3147

Mailing address

178 Windover Dr
Midland, PA 15059-2216
Phone (724) 888-2186

Other identifiers 1

IdentifierTypeStateIssuer
0116277MedicaidOH

Other names 1

  • Kelly A Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040519000237 PA Practitioner - Nurse Practitioner 6406847524 Reassigns benefits to 1 organization
I20171110000791 OH Practitioner - Nurse Practitioner 6406847524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cope Treatment Centers inGroup PAC ID 1951404540, 12 clinicians
Scott CRNP IncGroup PAC ID 2961899687, 5 clinicians

Practice addresses (Care Compare)

15613 Pineview Dr
Suite 3C
East Liverpool, OH 43920-9096
Phone (330) 542-9920

234 Adams St
Rochester, PA 15074-2102
Phone (724) 888-2186

425 W 5TH St
East Liverpool, OH 43920-2405
Phone (330) 386-2957

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP005628VPAMDPsychiatric/Mental Health Nurse Practitioner
15562-NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott CRNP Inc Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Valley Psychiatry, P.C. Past Accepting new patients
Valley Psychiatry, PC Past Accepting new patients

Locations

701 Sharon Rd
Ste 3
Beaver, PA 15009
Phone (724) 775-4099

234 Adams St
Rochester, PA 15074
Phone (724) 888-2186

Organizations & group practices 5

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

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1457406100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WINDOVER DR",
            "city": "MIDLAND",
            "state": "PA",
            "postal_code": "150592216",
            "telephone_number": "724-888-2186",
            "fax_number": "724-888-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHARON RD STE 3",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093147",
            "telephone_number": "724-888-2186",
            "fax_number": "724-888-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "UP005628V",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "UP005628V",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "15562-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DAVIS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.