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

Dawn Rosenbaum

Individual provider Physician Assistant · NPI 1174926455

Dawn Rosenbaum is a Physician Assistant in State College, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

2051 S Atherton St
State College, PA 16801-7608
Phone: (844) 278-4600
Fax: (814) 231-6879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Scenery Dr, State College, PA 16801-7974 — (814) 321-4560

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057177 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003422 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA0547177 (PA)

Record details

NPI number1174926455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2014
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1800 E Park Ave, State College, PA 16803-6701

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in State College