Active NPI
Mandy Lynne Corman, PA-C
- Physician Assistant
- Burnham, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703141 | Other | PA | MEDICARE |
| 102772019 | Medicaid | PA |
Other names 1
- Mandy Lynne Tipton
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Upmc Altoona | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
| Geisinger Clinic | Physician Assistant | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
PA
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Psychologist
- Danville, PA
- NPI 1427086065
-
- Clinical Medical Laboratory
- Lock Haven, PA
- NPI 1528010006
-
- Durable Medical Equipment & Medical Supplies
- Scranton, PA
- NPI 1730693235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.