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

Kevin J Anderson

Individual provider Physician Assistant · NPI 1518528231

Kevin J Anderson is a Physician Assistant in State College, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

155 Wellness Way
State College, PA 16803-6797
Phone: (814) 237-4321
Fax: (814) 235-0484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 801 Ostrum St, Bethlehem, PA 18015-1000 — (484) 526-4641
  • 164 Greenview Dr, State College, PA 16803-2106 — (814) 278-4321

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060755 (PA)

Record details

NPI number1518528231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in State College