NITTANY VALLEY MEDICAL ASSOCIATES P.C.
NPI 1083601249
Specialist in State College, PA
About Nittany Valley Medical Associates P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NITTANY VALLEY MEDICAL ASSOCIATES P.C. (NPI 1083601249) is a healthcare organization registered as a specialist in State College, Pennsylvania and active in the NPI registry since October 2005. The organization lists Eileen Clarke, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nittany Valley Medical Associates P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Nittany Valley Medical Associates P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nittany Valley Medical Associates P.C.'s NPI number?
The NPI number for Nittany Valley Medical Associates P.C. is 1083601249. It was assigned to this organization in the NPPES registry on October 3, 2005.
Where is Nittany Valley Medical Associates P.C. located?
Nittany Valley Medical Associates P.C. is located at 2134 Sandy Dr Ste 16, State College, PA 16803. The listed phone number is (814) 272-5805.
What is Nittany Valley Medical Associates P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Nittany Valley Medical Associates P.C. enrolled in Medicare?
Yes. Nittany Valley Medical Associates P.C. is registered in the Medicare PECOS enrollment system.
When is Nittany Valley Medical Associates P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nittany Valley Medical Associates P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Nittany Valley Medical Associates P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nittany Valley Medical Associates P.C. was last updated on October 28, 2021. 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.
# Nittany Valley Medical Associates P.c. · NPI 1083601249
Specialist organization in State College, Pennsylvania. Organization record, active in the CMS NPPES registry since October 3, 2005.
## Identity
- **NPI:** 1083601249 (Entity type: Organization)
- **Enumerated:** October 3, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Eileen Clarke, PRACTICE MANAGER
## Practice location
- **Address:** 2134 SANDY DR STE 16, State College, PA 16803-2292
- **Phone:** (814) 272-5805 · **Fax:** (814) 272-0110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2021
- **Other identifiers:** Other CJ9571 (PA); Other 1409586 (PA); Other 50000799 (PA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083601249) · Data from the CMS NPPES public registry.