MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
NPI 1629874748
Internal Medicine - Hematology & Oncology in State College, PA

Active since February 20, 2025
235 WELLNESS WAY, STATE COLLEGE, PA 16803(814) 231-7000(814) 238-0790 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Feb 20, 2025 (2 updates tracked since 2025).

About Mount Nittany Medical Center Health Services Inc NPPES

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

MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC (NPI 1629874748), doing business as Mount Nittany Physician Group, is a healthcare organization registered as a hematology & oncology in State College, Pennsylvania and active in the NPI registry since February 2025. The organization maintains 2 additional practice locations and lists Bryan Roach, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629874748
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Location Address235 WELLNESS WAYState College, PA 16803-6701
Mailing Address155 Wellness WayState College, PA 16803-6709 · (814) 231-7000 · Fax (814) 238-0790
Fax(814) 238-0790
Organization SubpartNo
Authorized OfficialBryan RoachCfo · (814) 231-7011
Enumeration DateFebruary 20, 2025
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1629874748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
235 WELLNESS WAY, State College, PA 16803

Other Names 1

Doing Business AsMount Nittany Physician Group

Secondary Practice Locations 2

Location 1155 Wellness WayState College, PA 16803-6701 · Phone (814) 231-7100 ext. 3490 · Fax (814) 238-0790
Location 21800 E Park AveState College, PA 16803-6701 · Phone (814) 231-7100 ext. 3490 · Fax (814) 238-0790

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mount Nittany Medical Center Health Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mount Nittany Medical Center Health Services Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1841294808
235 WELLNESS WAY SHANER CANCER CENTER
State College, PA 16803
(814) 231-7800
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1578903795
235 WELLNESS WAY SHANER CANCER CENTER
State College, PA 16803
(814) 231-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114367299
235 WELLNESS WAY SHANER CANCER CENTER
State College, PA 16803
(814) 231-7800
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1063875227
155 WELLNESS WAY
State College, PA 16803
(814) 234-7800
✔ PECOS3.2 mi
Hematology/Oncology
NPI 1689015042
235 WELLNESS WAY
State College, PA 16803
(814) 231-7800
✔ PECOS✔ Accepts Medicare3.2 mi

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 Mount Nittany Medical Center Health Services Inc's NPI number?

The NPI number for Mount Nittany Medical Center Health Services Inc is 1629874748. It was assigned to this organization in the NPPES registry on February 20, 2025. The provider is doing business as Mount Nittany Physician Group.

Where is Mount Nittany Medical Center Health Services Inc located?

Mount Nittany Medical Center Health Services Inc is located at 235 Wellness Way, State College, PA 16803. The listed phone number is (814) 231-7000.

What is Mount Nittany Medical Center Health Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mount Nittany Medical Center Health Services Inc enrolled in Medicare?

Yes. Mount Nittany Medical Center Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mount Nittany Medical Center Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mount Nittany Medical Center Health Services Inc. 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 Hematology/Oncology (3) and Nurse Practitioner (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mount Nittany Medical Center Health Services Inc was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.