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

Amanda Jeanette Derosa, PA-C

Individual provider Physician Assistant · NPI 1588909659

Amanda Jeanette Derosa, PA-C is a Physician Assistant in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
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

915 Benner Pike
State College, PA 16801-7395
Phone: (814) 867-7030
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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 MA055829 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA055829 (PA)

Record details

NPI number1588909659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2012
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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