The road heads through residential areas with some farms, running to the west of Elk Creek.

The route crosses into Penn Township and becomes an unnamed road, heading north across forested Brush Mountain.

At this point, the route turns west to form a concurrency with PA 192 on Brush Valley Road, passing more farms.

The route heads north across forested Nittany Mountain, becoming Madisonburg Pike Road.

PA 445 becomes Gingerick Gap Road and winds north across more of the mountain.