NPIMap

Individual provider Active NPI

Dawn M Mills, PAC

  • Medical Physician Assistant
  • Mount Union, PA
National Provider Identifier
1083860472
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002296L Issued in PA
Practice address
95 S Park St
Mount Union, PA 17066-1334
Phone
(814) 542-8627
Fax
(814) 542-5444
NPI assigned
Aug 18, 2008
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002296L PA Primary

Addresses

Primary practice location

95 S Park St
Mount Union, PA 17066-1334

Mailing address

95 S Park St
Mount Union, PA 17066-1334
Phone (814) 542-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000331 PA Practitioner - Physician Assistant 7113187550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

375 S Kishacoquillas St
Belleville, PA 17004-8620
Phone (717) 935-2065

4133 Medical Ctr Dr
Broad Top, PA 16621-9001
Phone (814) 635-2916

6678 Towne Ctr Blvd
Huntingdon, PA 16652-6934
Phone (814) 643-1232

95 S Park St
Mount Union, PA 17066-1334
Phone (814) 542-8623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002296LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broad Top Area Medical Center Inc CurrentSince Jan 13, 2018 Accepting new patients
Broad Top Area Medical Center Inc CurrentSince Jan 13, 2018 Accepting new patients
Mount Union Area Medical Center PastSince Jul 5, 2005 Accepting new patients
Broad Top Area Medical Center, Inc PastSince May 25, 2021 Accepting new patients

Locations

375 S Kishacoquillas St
Belleville, PA 17004
Phone (717) 935-2065

4133 Medical Center Dr
Broad Top, PA 16621
Phone (814) 506-8463

814 Washington St
Huntingdon, PA 16652
Phone (814) 623-4415

95 S Park St
Mount Union, PA 17066
Phone (814) 542-8627

Interoperability endpoints

  • Direct secure messaging: d.mills@broadtopmedical.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1083860472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S PARK ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661334",
            "telephone_number": "814-542-8627",
            "fax_number": "814-542-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S PARK ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661334",
            "telephone_number": "814-542-8627",
            "fax_number": "814-542-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002296L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Union, PA

Sources for this page

Verify at the official NPI Registry.