TITUSVILLE AREA HOSPITAL
NPI 1053873976
Clinic/Center - Rural Health in Conneaut Lake, PA
About Titusville Area Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TITUSVILLE AREA HOSPITAL (NPI 1053873976), doing business as Conneaut Lake Health Center, is a healthcare organization registered as a rural health in Conneaut Lake, Pennsylvania and active in the NPI registry since April 2019. The organization holds a CLIA Certificate of Compliance certificate valid through September 28, 2028 and lists Jill Ann Neely, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Titusville Area Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Titusville Area Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 39D0183623
Titusville Area Hospital · Titusville, PAFrequently 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 Titusville Area Hospital's NPI number?
The NPI number for Titusville Area Hospital is 1053873976. It was assigned to this organization in the NPPES registry on April 1, 2019. The provider is doing business as Conneaut Lake Health Center.
Where is Titusville Area Hospital located?
Titusville Area Hospital is located at 10926 State Highway 18, Conneaut Lake, PA 16316. The listed phone number is (814) 382-0446.
What is Titusville Area Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Titusville Area Hospital enrolled in Medicare?
Yes. Titusville Area Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Titusville Area Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 12 Medicare specialties reassign their Medicare billing to Titusville Area Hospital. 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 Family Practice (11), Nurse Practitioner (10) and Mental Health Counselor (4). Of these, 1 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Titusville Area Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 39D0183623) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Titusville Area Hospital was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Titusville Area Hospital · NPI 1053873976
Rural Health organization in Conneaut Lake, Pennsylvania. Organization record, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1053873976 (Entity type: Organization)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** CONNEAUT LAKE HEALTH CENTER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jill Neely, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 10926 STATE HIGHWAY 18, Conneaut Lake, PA 16316-3526
- **Phone:** (814) 382-0446 · **Fax:** (814) 382-7386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Nurse Practitioner (10), Mental Health Counselor (4); 1 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1053873976/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2019
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1053873976) · Data from the CMS NPPES public registry.