CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1043071558
Clinic/Center - Rural Health in Erie, PA
About Clinical Practice Of Lecom Institute For Successful Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING (NPI 1043071558), doing business as Rural Health Clinic Of Wattsburg, is a healthcare organization registered as a rural health in Erie, Pennsylvania and active in the NPI registry since January 2024. The organization maintains 11 additional practice locations and lists James Y Lin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 11
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinical Practice Of Lecom Institute For Successful Living is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Clinical Practice Of Lecom Institute For Successful Living, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clinical Practice Of Lecom Institute For Successful Living's NPI number?
The NPI number for Clinical Practice Of Lecom Institute For Successful Living is 1043071558. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Rural Health Clinic of Wattsburg.
Where is Clinical Practice Of Lecom Institute For Successful Living located?
Clinical Practice Of Lecom Institute For Successful Living is located at 9040 Wattsburg Rd, Erie, PA 16509. The listed phone number is (814) 844-2858.
What is Clinical Practice Of Lecom Institute For Successful Living's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Clinical Practice Of Lecom Institute For Successful Living enrolled in Medicare?
Yes. Clinical Practice Of Lecom Institute For Successful Living is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinical Practice Of Lecom Institute For Successful Living?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 8 Medicare specialties reassign their Medicare billing to Clinical Practice Of Lecom Institute For Successful Living. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Podiatry (6) and Cardiovascular Disease (Cardiology) (1). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clinical Practice Of Lecom Institute For Successful Living accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Clinical Practice Of Lecom Institute For Successful Living as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clinical Practice Of Lecom Institute For Successful Living was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clinical Practice Of Lecom Institute For Successful Living · NPI 1043071558
Rural Health organization in Erie, Pennsylvania. Organization record, active in the CMS NPPES registry since January 22, 2024.
## Identity
- **NPI:** 1043071558 (Entity type: Organization)
- **Enumerated:** January 22, 2024
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Rural Health Clinic of Wattsburg (Doing Business As)
- **Organization subpart:** Yes (part of Millcreek Manor)
- **Authorized official:** James Lin, PRESIDENT
## Practice location
- **Address:** 9040 WATTSBURG RD, Erie, PA 16509-6024
- **Phone:** (814) 844-2858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Podiatry (6), Cardiovascular Disease (Cardiology) (1); 1 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043071558) · Data from the CMS NPPES public registry.