Individual provider Active NPI

Kevin Thomas Scott, CRNP

  • Nurse Practitioner
  • Clearfield, PA
National Provider Identifier
1922507615
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018546 Issued in PA
Practice address
1900 River Rd
Clearfield, PA 16830-6026
Phone
(814) 299-7520
NPI assigned
Feb 7, 2018
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424000957 PA Practitioner - Nurse Practitioner 3971866005 Reassigns benefits to 1 organization

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
Redwood Health Partners LLCGroup PAC ID 5092935585, 16 clinicians

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

LicenseStateTypeSpecialty
SP018546PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Health Partners, LLC CurrentSince Jul 3, 2023 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

Verify at the official NPI Registry.