Organization Active NPI

Advanced Neurogeriatric Care PLLC

  • Neurology Physician
  • Altoona, PA
National Provider Identifier
1891023073
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD020833E Issued in PA
Legal business name
ADVANCED NEUROGERIATRIC CARE PLLC
Practice address
310 Chestnut Ave
Altoona, PA 16601-4911
Phone
(814) 946-5000
Fax
(814) 944-3523
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Tracy Layton
Title
Biller
Phone
(814) 946-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD020833E PA Primary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0301X

Addresses

Primary practice location

310 Chestnut Ave
Altoona, PA 16601-4911

Mailing address

310 Chestnut Ave
Altoona, PA 16601-4911
Phone (814) 946-5000

Other identifiers 1

IdentifierTypeStateIssuer
1035280230002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000034 PA Part B Supplier - Clinic/Group Practice 0244373892 Receives reassigned benefits from 1 practitioner
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Locations

211 Union Ave
Altoona, PA 16602
Phone (814) 946-5000

222 Chestnut Ave
Altoona, PA 16601
Phone (814) 946-8046

310 Chestnut Ave
Altoona, PA 16601
Phone (814) 946-5000

514 E Pleasant Valley Blvd
Ste 3
Altoona, PA 16602
Phone (814) 946-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1891023073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-5000",
            "fax_number": "814-944-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-5000",
            "fax_number": "814-944-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROGERIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "814-946-5000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD020833E",
            "primary": true
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035280230002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.