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MILLCREEK COMMUNITY HOSPITAL
NPI 1275310591
Internal Medicine in Erie, PA

Active since September 11, 2023
2820 W 12TH ST, ERIE, PA 16505(814) 833-8800(814) 833-2079 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Millcreek Community Hospital NPPES

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

MILLCREEK COMMUNITY HOSPITAL (NPI 1275310591), doing business as Shoreline Primary Care, is a healthcare organization registered as an internal medicine in Erie, Pennsylvania and active in the NPI registry since September 2023. The organization lists Jean Nejman, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1275310591
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLCREEK COMMUNITY HOSPITAL
Location Address2820 W 12TH STErie, PA 16505-4204
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2507
Phone(814) 833-8800
Fax(814) 833-2079
Organization SubpartYes
Authorized OfficialJean NejmanCredentialing Specialist · (814) 868-2507
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1275310591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
2820 W 12TH ST, Erie, PA 16505
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Other Names 1

Doing Business AsShoreline Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Millcreek Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Millcreek Community Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Bryant Bojewski, DO
Internal Medicine
NPI 1124009188
2820 W 12TH ST
Erie, PA 16505
(814) 833-8800
✔ PECOSSame address
Robert Esper, D.O.
Family Practice
NPI 1790767457
2820 W 12TH ST
Erie, PA 16505
(814) 833-8800
✔ PECOS✔ Accepts MedicareSame address
Micheal Pallone, M.D.
Pediatric Medicine
NPI 1275537722
2820 W 12TH ST
Erie, PA 16505
(814) 833-8800
✔ PECOSSame address
Emily Anderson, DO
Family Practice
NPI 1619653623
5515 PEACH ST
Erie, PA 16509
(814) 868-8294
✔ PECOS3.3 mi
Colette Yori Tobia, D.P.M
Podiatry
NPI 1598147290
8307 NW 88TH AVE
Tamarac, FL 33321
(954) 721-3411
✔ PECOS✔ Accepts Medicare1,094 mi

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 Millcreek Community Hospital's NPI number?

The NPI number for Millcreek Community Hospital is 1275310591. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Shoreline Primary Care.

Where is Millcreek Community Hospital located?

Millcreek Community Hospital is located at 2820 W 12th St, Erie, PA 16505. The listed phone number is (814) 833-8800.

What is Millcreek Community Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Millcreek Community Hospital enrolled in Medicare?

Yes. Millcreek Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millcreek Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Millcreek Community Hospital, in Family Practice, Internal Medicine, Pediatric Medicine and Podiatry. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Millcreek Community Hospital was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.