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

Individual provider Nephrology Physician · NPI 1619183415

Stacy Andersen, MD is a Nephrology in State College, Pennsylvania. Graduated from Loma Linda University School of Medicine in 2006, 20 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
Loma Linda University School of Medicine
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Scenery Dr
State College, PA 16801-7974
Phone: (814) 231-4560
Fax: (814) 231-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT188399 (PA)
Nephrology Physician Taxonomy 207RN0300X · Licence MT188399 (PA)

Record details

NPI number1619183415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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