Individual provider Active NPI

Trenten Lancaster, MD

  • Pediatrics Physician
  • State College, PA
National Provider Identifier
1447879655
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD481768 Issued in PA
Practice address
1800 E Park Ave
State College, PA 16803-6701
Phone
(814) 278-4818
Fax
(814) 234-6150
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD481768 PA Primary

Addresses

Primary practice location

1800 E Park Ave
State College, PA 16803-6701

Mailing address

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Other practice location 2

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

Other practice location 3

3901 S Atherton St Ste 5
State College, PA 16801-8324
Phone (814) 466-7921

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
I20230929001108 PA Practitioner - Pediatric Medicine 3173977790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481768PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc Pediatrics CurrentSince Aug 6, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc PastSince Aug 6, 2023 Accepting new patients
Mount Nittany Medical Center Past Accepting new patients

Locations

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

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

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

164 Greenview Dr
Ste 145
State College, PA 16803

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

Organizations & group practices 3

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1447879655",
    "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": "168036797",
            "telephone_number": "814-231-7000",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "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": "3901 S Atherton St Ste 5",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168018324",
            "country_code": "US",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "TRENTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD481768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.