NPIMap

Individual provider Active NPI

Lynn S Whittaker, CRNP

  • Family Nurse Practitioner
  • State College, PA
National Provider Identifier
1114367299
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012934 Issued in PA
Practice address
235 Wellness Way
Shaner Cancer Center
State College, PA 16803-6709
Phone
(814) 231-7800
Fax
(814) 231-7295
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012934 PA Primary

Addresses

Primary practice location

235 Wellness Way
Shaner Cancer Center
State College, PA 16803-6709

Mailing address

155 Wellness Way
Shaner Cancer Center
State College, PA 16803-6709
Phone (814) 231-7800

Other practice location 1

1800 E Park Ave
Lance and Ellen Shaner Cancer Pavilion
State College, PA 16803-6709
Phone (814) 272-4400

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
I20130903000275 PA Practitioner - Nurse Practitioner 0749423242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Practice addresses (Care Compare)

155 Wellness Way
Mount Nittany Health Oncology and Hema
State College, PA 16803-6797
Phone (814) 231-7800

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012934PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centre County Cancer Center CurrentSince Aug 10, 2015 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Mount Nittany Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Centre Pathology Associates, PC Current Accepting new patients
Mount Nittany Medical Center Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

235 Wellness Way
State College, PA 16803
Phone (814) 231-7800

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Interoperability endpoints

  • Direct secure messaging: lynn.whittaker@cancercarepartnership.ikm.direct-ci.com

Organizations & group practices 8

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

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1114367299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "address_2": "SHANER CANCER CENTER",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036709",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLNESS WAY",
            "address_2": "SHANER CANCER CENTER",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036709",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_2": "Lance and Ellen Shaner Cancer Pavilion",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036709",
            "country_code": "US",
            "telephone_number": "814-272-4400",
            "fax_number": "814-231-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "LYNN",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.