MOUNT NITTANY MEDICAL CENTER
NPI 1194521302
Clinic/Center in State College, PA
About Mount Nittany Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNT NITTANY MEDICAL CENTER (NPI 1194521302) is a healthcare organization registered as a clinic/center in State College, Pennsylvania and active in the NPI registry since February 2025. The organization holds an CLIA Accreditation certificate valid through February 27, 2027, maintains a secondary practice location in State College, and lists Bryan Roach, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
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)
Mount Nittany Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mount Nittany Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
State College, PA 16803
State College, PA 16803
State College, PA 16803
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 39D0185056
Mount Nittany Medical Center · State College, PAFrequently 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 Mount Nittany Medical Center's NPI number?
The NPI number for Mount Nittany Medical Center is 1194521302. It was assigned to this organization in the NPPES registry on February 20, 2025.
Where is Mount Nittany Medical Center located?
Mount Nittany Medical Center is located at 155 Wellness Way, State College, PA 16803. The listed phone number is (814) 231-7000.
What is Mount Nittany Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Mount Nittany Medical Center enrolled in Medicare?
Yes. Mount Nittany Medical Center is registered in the Medicare PECOS enrollment system.
When is Mount Nittany Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Hospital) is due for revalidation by January 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 Mount Nittany Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mount Nittany Medical Center, in Hematology/Oncology and Nurse Practitioner. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mount Nittany Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 39D0185056) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mount Nittany Medical Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mount Nittany Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mount Nittany Medical Center was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mount Nittany Medical Center · NPI 1194521302
Clinic/Center organization in State College, Pennsylvania. Organization record, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1194521302 (Entity type: Organization)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Bryan Roach, CFO
## Practice location
- **Address:** 155 WELLNESS WAY, State College, PA 16803-6701
- **Phone:** (814) 231-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Pennsylvania, Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hematology/Oncology (2), Nurse Practitioner (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194521302) · Data from the CMS NPPES public registry.