Active NPI
Kevin Thomas Scott, CRNP
- Nurse Practitioner
- Clearfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP018546
- Practice address
- 1900 River Rd
Clearfield, PA 16830-6026 - Phone
- (814) 299-7520
- NPI assigned
- Feb 7, 2018
- Last updated
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP018546 | PA | Primary |
Addresses
Primary practice location
1900 River Rd
Clearfield, PA 16830-6026
Mailing address
1900 River Rd
Clearfield, PA 16830-6026
Other practice location 1
150 Appleblossom Ln
Port Matilda, PA 16870-9311
Phone (814) 421-7154
Other practice location 2
1930 Cliffside Drive
State College, PA 16801-7662
Phone (973) 661-8300
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
Enrollment records 1
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)
1930 Cliffside Dr
State College, PA 16801-7662
Phone (973) 661-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP018546 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Health Partners, LLC | Current | Accepting new patients |
Locations
400 Broadacres Dr
Ste 445
Bloomfield, NJ 07003
1125 Birch Rd
Lebanon, PA 17042
Phone (717) 272-8782
455 Chestnut St
Meadville, PA 16335
Phone (814) 333-4400
2589 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-2030
1930 Cliffside Dr
State College, PA 16801
Phone (814) 238-3139
610 W Whitehall Rd
State College, PA 16801
Phone (814) 234-3141
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, 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": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1922507615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 RIVER RD",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168306026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RIVER RD",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168306026",
"telephone_number": "814-299-7520"
}
],
"practiceLocations": [
{
"address_1": "150 Appleblossom Ln",
"address_purpose": "LOCATION",
"city": "Port Matilda",
"state": "PA",
"postal_code": "168709311",
"country_code": "US",
"telephone_number": "814-421-7154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 Cliffside Drive",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168017662",
"country_code": "US",
"telephone_number": "973-661-8300",
"fax_number": "973-661-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP018546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.