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

Priscilla Weaver

Individual provider Acute Care Nurse Practitioner · NPI 1972278778

Priscilla Weaver is a Nurse Practitioner in State College, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1850 E Park Ave Ste 201
State College, PA 16803-6706
Phone: (814) 689-3140
Fax: (814) 234-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12500 Willowbrook Rd, Cumberland, MD 21502-6393 — (240) 964-7000
  • 115 Union Ave, Altoona, PA 16602-3245 — (866) 383-4156
  • 500 University Dr, Hershey, PA 17033-2360 — (717) 531-8521

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP024163 (PA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP024163 (PA)

Record details

NPI number1972278778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 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 specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in State College