Individual provider Active NPI

Kimberly Scutella, APN

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1497455034
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030093 Issued in PA
Practice address
100 Peach St
Erie, PA 16507-1423
Phone
(814) 459-1851
NPI assigned
Mar 2, 2023
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030093 PA Primary

Addresses

Primary practice location

100 Peach St
Erie, PA 16507-1423

Mailing address

5238 Wolf Run Village LN
Erie, PA 16505-5524
Phone (201) 620-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20231107002126 NJ Practitioner - Nurse Practitioner 0042667461 Reassigns benefits to 1 organization
I20241107000418 PA Practitioner - Nurse Practitioner 0042667461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030093PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Erie, PC CurrentSince Aug 26, 2024 Accepting new patients
Lifeline Medical Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

11031 Perry Hwy
Meadville, PA 16335
Phone (724) 588-7531

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kimberly.rojas-nunez.1@28732.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1497455034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 WOLF RUN VILLAGE LN",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055524",
            "telephone_number": "201-620-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUTELLA",
        "first_name": "KIMBERLY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.