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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEADVILLE MEDICAL CENTER
NPI 1124083928
Clinic/Center - Multi-Specialty in Meadville, PA

Active since April 18, 2006CLIA 39D1079650 · Accreditation
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335(814) 333-5060(814) 333-5067 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Aug 15, 2023, Oct 14, 2016 (3 updates tracked since 2016).

About Meadville Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADVILLE MEDICAL CENTER (NPI 1124083928) is a healthcare organization registered as a multi-specialty in Meadville, Pennsylvania and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through July 22, 2027, maintains 2 additional practice locations, and lists Renato Suntay, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124083928
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEADVILLE MEDICAL CENTER
Location Address18201 CONNEAUT LAKE RDMeadville, PA 16335-3757
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-5060 · Fax (814) 333-5067
Phone(814) 333-5060
Fax(814) 333-5067
Organization SubpartYes
Authorized OfficialRenato SuntayCeo · (814) 333-5031
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1124083928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 02218 (PA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DN000047 (PA), DN001984 (PA)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
18201 CONNEAUT LAKE RD, Meadville, PA 16335
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Other Names 1

Other NameMind-body Wellness Center

Secondary Practice Locations 2

Location 12425 Garden Way Ste 102Hermitage, PA 16148-5215 · Phone (724) 981-1777 · Fax (724) 342-2879
Location 2315 S Erie St Ste DMercer, PA 16137-1555 · Phone (724) 662-4155 · Fax (724) 662-2352

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meadville Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Meadville Medical Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Psychiatry5
Clinical Psychologist4
Family Practice4
Clinical Social Worker3
Mental Health Counselor2
Nurse Practitioner2
Registered Dietitian or Nutrition Professional2
Endocrinology1
2 other specialties2

Nearest to this location (20)

See all 25
Humberto Dorta, M.D.
Psychiatry
NPI 1629044128
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5061
✔ PECOS✔ Accepts MedicareSame address
Philip Talarico
Psychiatry
NPI 1356703193
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5060
✔ PECOS✔ Accepts MedicareSame address
Stefanie Arblaster, RD
Registered Dietitian or Nutrition Professional
NPI 1114795176
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5061
Same address
Kelly Bidwell, LCSW
Clinical Social Worker
NPI 1336493477
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5060
✔ PECOS✔ Accepts MedicareSame address
Mela Calomino, MSW,LSW
Clinical Social Worker
NPI 1306433016
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5061
✔ PECOS✔ Accepts MedicareSame address
Bethany Say, RD, LDN, CDCES
Registered Dietitian or Nutrition Professional
NPI 1811678329
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5064
Same address
Taylor Shank, PH.D.
Clinical Psychologist
NPI 1013442490
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5061
✔ PECOS✔ Accepts MedicareSame address
Kathleen Berkey, M.A., M.S.
Clinical Psychologist
NPI 1003886656
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5060
✔ PECOS✔ Accepts MedicareSame address
Danelle Carrillo Bennett, PH.D.
Clinical Psychologist
NPI 1912214750
18201 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 333-5061
✔ PECOS✔ Accepts MedicareSame address
Anne Lise Armstrong, M.D.
Internal Medicine
NPI 1083906119
991 PARK AVE
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts Medicare1.5 mi
Elizabeth Ramsey, D.O.
Psychiatry
NPI 1710290010
1034 GROVE ST
Meadville, PA 16335
(814) 373-3374
✔ PECOS✔ Accepts Medicare1.6 mi
Amy Dietz, MS, LPC
Mental Health Counselor
NPI 1760016588
640 ALDEN ST
Meadville, PA 16335
(814) 373-5266
✔ PECOS✔ Accepts Medicare2.0 mi
Suzette Madanat, PSYD
Clinical Psychologist
NPI 1811716061
640 ALDEN ST
Meadville, PA 16335
(814) 373-5266
✔ PECOS✔ Accepts Medicare2.0 mi
Ryan Patton, LPC
Mental Health Counselor
NPI 1982035390
640 ALDEN ST
Meadville, PA 16335
(814) 373-5266
✔ PECOS✔ Accepts Medicare2.0 mi
Eric Smith, DO
Psychiatry
NPI 1790206829
640 ALDEN ST
Meadville, PA 16335
(814) 373-5266
✔ PECOS✔ Accepts Medicare2.0 mi
Lee Spain, D.O.
Psychiatry
NPI 1427281559
640 ALDEN ST
Meadville, PA 16335
(814) 373-5266
✔ PECOS✔ Accepts Medicare2.0 mi
Gagandeep Grewal
Endocrinology
NPI 1629455340
765 LIBERTY ST STE 307-A
Meadville, PA 16335
(814) 373-4270
✔ PECOS✔ Accepts Medicare2.0 mi
Michele Kearns, LCSW
Clinical Social Worker
NPI 1639853328
1243 LIBERTY ST
Franklin, PA 16323
(814) 218-9261
✔ PECOS✔ Accepts Medicare24 mi
Scott Morgan, MD
Family Practice
NPI 1467419689
315 S ERIE ST STE E
Mercer, PA 16137
(724) 662-4155
✔ PECOS✔ Accepts Medicare28 mi
Tammy Moon, CRNP
Nurse Practitioner
NPI 1386300150
2425 GARDEN WAY STE 102
Hermitage, PA 16148
(724) 981-1777
✔ PECOS✔ Accepts Medicare30 mi
See all 25 clinicians

Source: 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 Accreditation 39D1079650

Meadville Medical Center Conneaut Lake Road Laboratory · Meadville, PA
Active · expires Jul 22, 2027
CLIA Number39D1079650
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorDr. David Azar
Laboratory Phone(814) 333-5516
Laboratory LocationMeadville Medical Center Conneaut Lake Road Laboratory16792 Conneaut Lake Road, Meadville, PA 16335
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Meadville Medical Center's NPI number?

The NPI number for Meadville Medical Center is 1124083928. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is also known as Mind-Body Wellness Center.

Where is Meadville Medical Center located?

Meadville Medical Center is located at 18201 Conneaut Lake Rd, Meadville, PA 16335. The listed phone number is (814) 333-5060.

What is Meadville Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Meadville Medical Center enrolled in Medicare?

Yes. Meadville Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meadville Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 10 Medicare specialties reassign their Medicare billing to Meadville Medical Center. 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 Psychiatry (5), Clinical Psychologist (4) and Family Practice (4). Of these, 9 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Meadville Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 39D1079650) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meadville Medical Center was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.