MOUNT NITTANY MEDICAL CENTER
NPI 1780750620
Clinic/Center - Ambulatory Surgical in State College, PA

Q: What is Mount Nittany Medical Center's NPI number?

The NPI number for Mount Nittany Medical Center is 1780750620. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as Mount Nittany Surgical Center.

Q: What is Mount Nittany Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 24, 2006

143 HOSPITAL DR STE 103, STATE COLLEGE, PA 16803(814) 234-6750(814) 231-7098 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Oct 4, 2021 (2 updates tracked since 2021).

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About Mount Nittany Medical Center NPPES

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

MOUNT NITTANY MEDICAL CENTER (NPI 1780750620), doing business as Mount Nittany Surgical Center, is a healthcare organization registered as an ambulatory surgical in State College, Pennsylvania and active in the NPI registry since November 2006. The organization lists Bryan Roach, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780750620

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMOUNT NITTANY MEDICAL CENTER

Location Address143 HOSPITAL DR STE 103State College, PA 16803-5500

Mailing Address155 Wellness WayState College, PA 16803-6702 · (814) 234-6750 · Fax (814) 231-7098

Phone(814) 234-6750

Fax(814) 231-7098

Organization SubpartNo

Authorized OfficialBryan RoachCfo · (814) 234-6148

Enumeration DateNovember 24, 2006

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1780750620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in PA · 06001500

143 HOSPITAL DR STE 103, State College, PA 16803

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Other Names 1

Doing Business AsMount Nittany Surgical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20031215000355Part A · HospitalDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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's NPI number?

The NPI number for Mount Nittany Medical Center is 1780750620. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as Mount Nittany Surgical Center.

Where is Mount Nittany Medical Center located?

Mount Nittany Medical Center is located at 143 Hospital Dr Ste 103, State College, PA 16803. The listed phone number is (814) 234-6750.

What is Mount Nittany Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

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.

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 May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.