Individual provider Active NPI

Morgan Taylor Decker, MD

  • Pediatrics Physician
  • State College, PA
National Provider Identifier
1154907228
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD485213 Issued in PA
Practice address
3901 S Atherton St Ste 5
State College, PA 16801-8324
Phone
(814) 466-7921
Fax
(814) 466-6570
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD485213 PA Primary

Addresses

Primary practice location

3901 S Atherton St Ste 5
State College, PA 16801-8324

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 234-7100

Other practice location 1

164 Greenview Drive
State College, PA 16803-2106
Phone (814) 231-3742

Other practice location 2

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 278-4818

Other practice location 3

129 Medical Park Ln
Bellefonte, PA 16823-9112
Phone (814) 355-3626

Other practice location 4

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 598-4835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004908 PA Practitioner - Pediatric Medicine 9133660111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc PastSince Nov 1, 2024 Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

129 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-2762

164 Greenview Dr
Ste 145
State College, PA 16803

143 Hospital Dr
Ste 301
State College, PA 16803
Phone (814) 231-6862

3901 S Atherton St
Ste 100
State College, PA 16801

164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321

3901 S Atherton St
Ste 5
State College, PA 16801
Phone (814) 466-7921

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

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1154907228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-234-7100",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S ATHERTON ST STE 5",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018324",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Greenview Drive",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032106",
            "country_code": "US",
            "telephone_number": "814-231-3742",
            "fax_number": "814-231-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Medical Park Ln",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168239112",
            "country_code": "US",
            "telephone_number": "814-355-3626",
            "fax_number": "814-355-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 University Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265012421",
            "country_code": "US",
            "telephone_number": "304-598-4835",
            "fax_number": "304-285-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "MORGAN",
        "middle_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD485213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.