Mount Nittany Health Ventures

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOUNT NITTANY HEALTH VENTURES

Doing business as

Mount Nittany Health Outpatient Endoscopy

Practice address

164 Greenview Drive
State College, PA 16803

Phone

(814) 231-7000

Fax

(814) 238-0790

NPI assigned

Feb 14, 2024

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan J Roach

Title

Cfo

Phone

(814) 234-6148

Specialties & licenses 2

Addresses

Other names 1

• Mount Nittany Health Outpatient Endoscopy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689439283. Details of each certification follow.

• CCN 39C0001404 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 39C0001404

Legal name

MOUNT NITTANY HEALTH OUTPATIENT ENDOSCOPY

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 16, 2026

Last certification

Jan 22, 2026

Facility address

164 Greenview Drive
State College, PA 16803

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1689439283",
    "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": "168036702",
            "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": "164 GREENVIEW DRIVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-231-7000",
            "fax_number": "814-238-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT NITTANY HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-234-6148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Nittany Health Outpatient Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Nittany Health Outpatient Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert E Morgan
• Jill Susan Morgan, PH.D.
• Walter B. Morrison, M.ED.,LPC.
• Ariel Morsey, APRN
• Janyce Kay Mose, M.A., CCC-A
• Mount Nittany Medical Center (Mount Nittany Pain Center)
• Mount Nittany Medical Center
• Mount Nittany Medical Center
• Mount Nittany Medical Center (Mount Nittany Medical Center Orthotics Supplier)
• Mount Nittany Medical Center

• Ambulatory Surgical Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.