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

Evan Spencer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780215012

Evan Spencer is an Urology in State College, Pennsylvania. Qualified in 2020, 6 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
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

164 Greenview Dr Ste 300
State College, PA 16803-2106
Phone: (814) 238-8418
Fax: (814) 234-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Woods Rd, Valhalla, NY 10595-1530 — (123) 345-6789

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD489904 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780215012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address155 Wellness Way, State College, PA 16803-6797

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in State College