KYLE MATHEW SCOTT – Family Nurse Practitioner, NPI 1639945108

KYLE MATHEW SCOTT is a healthcare provider. based in New wilmington, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP028625 (PA). The NPI Number for KYLE MATHEW SCOTT is 1639945108

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
KYLE MATHEW SCOTT
NPI
1639945108
Phone
(724) 946-3516
Address
238 S Market St
Enumeration Date
27 November 2023
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8147241252
Graduation Year
2023 (3 years ago)
PAC ID
0547610008
Group Practice PAC ID
0446151864
Professional Enrollment ID
I20231222003100
Address ID
PA163353719ME11277PLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,556 NURSE PRACTITIONER in PA

Provider Addresses for KYLE MATHEW SCOTT

  • 238 S Market St

    New Wilmington, PA 161421212

    Phone: (724) 946-3516

    Type: Location

  • 1518 HENDERSONVILLE ROAD

    SANDY LAKE, PA 16145

    Phone: (724) 851-1303

    Type: Mailing

  • 11277 VERNON PL STE 200

    MEADVILLE, PA 163353719

    Phone: (814) 724-1252

    Fax: (814) 333-8871

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231222003100INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446151864View full group profile
NameSpecialtyState
-PA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Physical Medicine And RehabilitationPA
Physician AssistantPA
Orthopedic SurgeryPA
-PA

Reviews

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Frequently asked questions

Can I verify KYLE MATHEW SCOTT with an NPI only?
You can start verification with NPI 1639945108 for KYLE MATHEW SCOTT, then check state licensing separately.
Is KYLE MATHEW SCOTT still practicing?
KYLE MATHEW SCOTT is currently listed as active in the public NPI registry.
What is KYLE MATHEW SCOTT's primary classification?
Family Nurse Practitioner is the headline specialty for KYLE MATHEW SCOTT here. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE MATHEW SCOTT?
KYLE MATHEW SCOTT's geographic hint is New Wilmington, Pennsylvania in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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