Active NPI
Peter Nordstrom Swain, DO
- Hospitalist Physician
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS023158
- Practice address
- 155 Wellness Way
State College, PA 16803-6797 - Phone
- (814) 278-4818
- Fax
- (814) 234-6150
- NPI assigned
- May 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT021500 | PA | |
| Hospitalist Physician | 208M00000X | OS023158 | PA | Primary |
Addresses
Primary practice location
155 Wellness Way
State College, PA 16803-6797
Mailing address
155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000
Other practice location 1
95 Leonard Ave
Washington, PA 15301-3368
Phone (724) 223-3100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000
Hospital & facility affiliations
- Mount Nittany Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT021500 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Family Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Family Medicine | Current | Accepting new patients |
| Mount Nittany Medical Center | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
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 5
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.
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
Family Medicine
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1053848051
Family Medicine
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1679219117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WELLNESS WAY",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036797",
"telephone_number": "814-231-7000",
"fax_number": "814-231-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WELLNESS WAY",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036797",
"telephone_number": "814-278-4818",
"fax_number": "814-234-6150"
}
],
"practiceLocations": [
{
"address_1": "95 Leonard Ave",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "PA",
"postal_code": "153013368",
"country_code": "US",
"telephone_number": "724-223-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWAIN",
"first_name": "PETER",
"middle_name": "NORDSTROM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-09",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT021500",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS023158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.