SCOTT CALDWELL CRNP
NPI 1114435088
Nurse Practitioner - Primary Care in Erie, PA

Active since January 13, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
311 W 24TH ST STE 101, ERIE, PA 16502(814) 452-4214 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2020, Jan 13, 2018 (2 updates tracked since 2018).

About Scott Caldwell Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT CALDWELL CRNP (NPI 1114435088) is an individual primary care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP018430) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114435088
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameSCOTT CALDWELLCredential: CRNP
Location Address311 W 24TH ST STE 101Erie, PA 16502-2668
Mailing Address311 W 24th St Ste 101Erie, PA 16502-2668 · (814) 452-4214
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 13, 2018
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1114435088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in PA · SP018430
311 W 24TH ST STE 101, Erie, PA 16502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott Caldwell Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385909035
PECOS Enrollment IDI20180530000173
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
211 services196 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
128 services124 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
95 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Titusville Area Hospital

Critical Access Hospitals · Titusville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,390 services$1.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
311 W 24TH ST STE 101
ERIE, PA 16502
Physician Assistant (Medical)
311 W 24TH ST STE 101
ERIE, PA 16502
Urology
311 W 24TH ST STE 101
ERIE, PA 16502
Physician Assistant (Medical)
311 W 24TH ST STE 101
ERIE, PA 16502
Nurse Practitioner (Family)
311 W 24TH ST STE 101
ERIE, PA 16502
Urology (Urogynecology and Reconstructive Pelvic Surgery)
311 W 24TH ST STE 101
ERIE, PA 16502
Physician Assistant
311 W 24TH ST STE 101
ERIE, PA 16502
Urology
311 W 24TH ST STE 101
ERIE, PA 16502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Caldwell's NPI number?

The NPI number for Scott Caldwell is 1114435088. It was assigned to this individual provider in the NPPES registry on January 13, 2018.

Where is Scott Caldwell located?

Scott Caldwell practices at 311 W 24th St Ste 101, Erie, PA 16502. The listed phone number is (814) 452-4214.

What is Scott Caldwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Scott Caldwell enrolled in Medicare?

Yes. Scott Caldwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Scott Caldwell affiliated with any hospitals?

According to CMS data, Scott Caldwell is affiliated with Saint Vincent Hospital, Lecom Health Corry Memorial Hospital and Titusville Area Hospital.

When was this NPI record last updated?

The NPPES record for Scott Caldwell was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.