NPIMap

Individual provider Active NPI

Hannah Jinhee Sebold, PA-C

  • Physician Assistant
  • State College, PA
National Provider Identifier
1922626811
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061658 Issued in PA
Practice address
1850 E Park Ave Ste 312
State College, PA 16803-6706
Phone
(814) 689-3156
Fax
(814) 689-1954
NPI assigned
Jul 8, 2020
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 MA061658 PA Primary

Addresses

Primary practice location

1850 E Park Ave Ste 312
State College, PA 16803-6706

Mailing address

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000

Other practice location 1

1061 N Front St
Philipsburg, PA 16866-8257
Phone (844) 278-4600

Other practice location 2

96 Kish Rd
Reedsville, PA 17084-8943
Phone (844) 278-4600

Other practice location 3

3631 Penns Valley Rd
Spring Mills, PA 16875-8011
Phone (844) 278-4600

Other practice location 4

565 E Chocolate Ave
Hershey, PA 17033-1325
Phone (171) 753-3493

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
I20200729003117 PA Practitioner - Physician Assistant 0840615431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

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 Oct 16, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

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

1061 N Front St
Philipsburg, PA 16866
Phone (814) 376-6200

96 Kish Rd
Reedsville, PA 17084
Phone (717) 667-7720

3631 Penns Valley Rd
Spring Mills, PA 16875
Phone (814) 422-8873

143 Hospital Dr
State College, PA 16803
Phone (814) 235-2480

143 Hospital Dr
Ste 312
State College, PA 16803
Phone (814) 235-2480

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

Organizations & group practices 3

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1922626811",
    "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": "814-231-7000",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE STE 312",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-689-3156",
            "fax_number": "814-689-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168668257",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Kish Rd",
            "address_purpose": "LOCATION",
            "city": "Reedsville",
            "state": "PA",
            "postal_code": "170848943",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3631 Penns Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Mills",
            "state": "PA",
            "postal_code": "168758011",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 E Chocolate Ave",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170331325",
            "country_code": "US",
            "telephone_number": "171-753-3493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBOLD",
        "first_name": "HANNAH",
        "middle_name": "JINHEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.