Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adriana Distanislao, PA-C

Individual provider Physician Assistant · NPI 1497181416

Adriana Distanislao, PA-C is a Physician Assistant in State College, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Advanced Dermatology of Pennsylvania, PC, a 28-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1850 E Park Ave Ste 312
State College, PA 16803-6706
Phone: (814) 237-6600
Fax: (814) 237-5383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056368 (PA)

Record details

NPI number1497181416
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2013
Last updated in NPPESJuly 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Dermatology Of Pennsylvania, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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