Individual provider Active NPI

Ashley Marie Dunkelberger, PA-C

  • Physician Assistant
  • State College, PA
National Provider Identifier
1972175289
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062920 Issued in PA
Practice address
164 Greenview Dr
State College, PA 16803-2106
Phone
(814) 237-4321
Fax
(814) 235-0484
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X MA062920 PA Primary

Addresses

Primary practice location

164 Greenview Dr
State College, PA 16803-2106

Mailing address

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

Other practice location 1

310 Electric Ave Ste 240
Lewistown, PA 17044-1369
Phone (717) 242-2531

Other practice location 2

1700 Old Gatesburg Rd Ste 200
State College, PA 16803-2276
Phone (814) 237-4321

Other practice location 3

132 Abigail Ln
Port Matilda, PA 16870-7153
Phone (814) 272-6754

Other names 1

  • Ashely Fannick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afannick469371@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
I20210927002088 PA Practitioner - Physician Assistant 0345647863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

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

155 Wellness Way
State College, PA 16803-6702

164 Greenview Dr
State College, PA 16803-2106
Phone (844) 278-4600

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

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062920PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 18, 2021 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Sep 18, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 18, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
Martin & Suhey Orthopedics, P.C. PastSince Jul 1, 2011 Accepting new patients

Locations

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

100 N Academy Ave
Danville, PA 17822

310 Electric Ave
Ste 240
Lewistown, PA 17044
Phone (717) 242-8124

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

164 Greenview Dr
Ste 200
State College, PA 16803
Phone (814) 237-4321

1700 Old Gatesburg Rd
Ste 200
State College, PA 16803
Phone (814) 237-4321

164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321

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

Interoperability endpoints

  • Direct secure messaging: afannick469371@direct.geisinger.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1972175289",
    "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": "814-231-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-237-4321",
            "fax_number": "814-235-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Electric Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441369",
            "country_code": "US",
            "telephone_number": "717-242-2531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-237-4321",
            "fax_number": "814-235-0484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Abigail Ln",
            "address_purpose": "LOCATION",
            "city": "Port Matilda",
            "state": "PA",
            "postal_code": "168707153",
            "country_code": "US",
            "telephone_number": "814-272-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNKELBERGER",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afannick469371@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Electric Ave Ste 240",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHELY",
            "last_name": "FANNICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.