Individual provider Active NPI

Mandy Lynne Corman, PA-C

  • Physician Assistant
  • Burnham, PA
National Provider Identifier
1760740252
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053630 Issued in PA
Practice address
224 N Logan Blvd
Burnham, PA 17009-1850
Phone
(717) 242-0196
Fax
(717) 242-0701
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053630 PA Primary

Addresses

Primary practice location

224 N Logan Blvd
Burnham, PA 17009-1850

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (717) 242-0196

Other identifiers 2

IdentifierTypeStateIssuer
703141OtherPAMEDICARE
102772019MedicaidPA

Other names 1

  • Mandy Lynne Tipton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtipton119842@direct.geisinger.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000487 PA Practitioner - Physician Assistant 3476707761 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

224 N Logan Blvd
Suite 220
Burnham, PA 17009-1850
Phone (717) 242-0196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jul 9, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Apr 13, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Jul 1, 2020 Accepting new patients
Upmc Altoona CurrentSince Jul 9, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Dec 1, 2012 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Apr 13, 2020 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

100 N Academy Ave
Danville, PA 17822

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: mtipton119842@direct.geisinger.edu

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1760740252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "717-242-0196",
            "fax_number": "717-242-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N LOGAN BLVD",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091850",
            "telephone_number": "717-242-0196",
            "fax_number": "717-242-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMAN",
        "first_name": "MANDY",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "703141",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102772019",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtipton119842@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "224 N Logan Blvd",
            "city": "Burnham",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170091850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "TIPTON",
            "middle_name": "LYNNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnham, PA

Sources for this page

Verify at the official NPI Registry.