TYLER DWANE MANSBERGER PA-C NPI 1811325228

NPI Information

  • NPI: 1811325228
  • Provider Name: TYLER DWANE MANSBERGER, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6678 TOWNE CENTER BLVD
    HUNTINGDON, PA
    ZIP 16652
  • Phone: (814) 506-8490

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NPI Details

Tyler Dwane Mansberger, PA-C is a physician assistant in Huntingdon, PA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tyler Dwane Mansberger, PA-C NPI is 1811325228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6678 TOWNE CENTER BLVD
HUNTINGDON, PA
ZIP 16652-934
Phone: (814) 506-8490
Fax: (814) 506-8493

The NPI 1811325228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/22/2013 and was last updated on 8/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantMA056247PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10008434780002MEDICAIDPENNSYLVANIA
2400472OTHERPENNSYLVANIAHUMANA
3102926115-0003MEDICAIDPENNSYLVANIA
4102926115-0006MEDICAIDPENNSYLVANIA
5102926115-0007MEDICAIDPENNSYLVANIA
6102926115-0008MEDICAIDPENNSYLVANIA
7102926115-0002MEDICAIDPENNSYLVANIA
8754008OTHERPENNSYLVANIAPART-B PTAN
9102926115-0005MEDICAIDPENNSYLVANIA
10102926115-0004MEDICAIDPENNSYLVANIA
11102926115-0009MEDICAIDPENNSYLVANIA
12709708OTHERPENNSYLVANIAAMERIHEALTH CARITAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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