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

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