NPIMap

Individual provider Active NPI

Lauren C Delgrosso, PA-C

  • Physician Assistant
  • State College, PA
National Provider Identifier
1851776967
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057660 Issued in PA
Practice address
1800 E Park Ave
State College, PA 16803-6797
Phone
(814) 231-7800
Fax
(814) 231-7296
NPI assigned
Jul 30, 2015
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 MA057660 PA Primary

Addresses

Primary practice location

1800 E Park Ave
State College, PA 16803-6797

Mailing address

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901002769 PA Practitioner - Physician Assistant 9234445537 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyrone HospitalGroup PAC ID 4183619885, shared by 4 NPIs, 21 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

120 Spring St
Houtzdale, PA 16651-1400
Phone (814) 497-4297

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

221 Hospital Dr
Tyrone, PA 16686-1826
Phone (814) 684-1255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc CurrentSince Mar 19, 2022 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Aug 14, 2023 Accepting new patients
Pinecroft Medical Center Past Accepting new patients

Locations

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

120 Spring St
Houtzdale, PA 16651
Phone (814) 497-4297

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

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

221 Hospital Dr
Ste 6
Tyrone, PA 16686
Phone (814) 684-3101

Interoperability endpoints

  • Direct secure messaging: lauren.delgrosso@cancercarepartnership.ikm.direct-ci.com
  • Direct secure messaging: ldelgrosso@tyronespecialties.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1851776967",
    "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": "814-231-7800",
            "fax_number": "814-231-7295"
        },
        {
            "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": "168036797",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGROSSO",
        "first_name": "LAUREN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.