CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1356102859
Clinic/Center - Rural Health in Ashtabula, OH

Active since January 22, 2024
524 W 24TH ST, ASHTABULA, OH 44004(440) 496-6500 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1356102859), doing business as Rural Health Clinic Of Ashtabula, is a healthcare organization registered as a rural health in Ashtabula, Ohio and active in the NPI registry since January 2024. The organization lists James Y Lin, President, as its authorized official.

NPPES Registry Identity

NPI1356102859
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Location Address524 W 24TH STAshtabula, OH 44004-3423
Mailing Address5401 Peach St Ste 3400Erie, PA 16509-2601 · (814) 868-2200
Organization SubpartYesParent: Millcreek Manor
Authorized OfficialJames Y LinPresident · (814) 602-7783
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1356102859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPodiatristTaxonomy 213E00000X
524 W 24TH ST, Ashtabula, OH 44004

Other Names 1

Doing Business AsRural Health Clinic Of Ashtabula

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

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

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Clinical Practice Of Lecom Institute For Successful Living, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1457099061
5401 PEACH ST
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare39 mi
Obstetrics/Gynecology
NPI 1215376223
100 PEACH ST STE 300
Erie, PA 16507
(814) 459-1851
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1063277481
9500 EUCLID AVE
Cleveland, OH 44195
(800) 223-2273
✔ PECOS✔ Accepts Medicare50 mi
Obstetrics/Gynecology
NPI 1508393299
801 OSTRUM ST
Bethlehem, PA 18015
(484) 526-4670
✔ PECOS✔ Accepts Medicare295 mi
Obstetrics/Gynecology
NPI 1578184776
94 OLD SHORT HILLS RD
Livingston, NJ 07039
(973) 322-5281
✔ PECOS✔ Accepts Medicare346 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 Clinical Practice Of Lecom Institute For Successful Living's NPI number?

The NPI number for Clinical Practice Of Lecom Institute For Successful Living is 1356102859. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Rural Health Clinic of Ashtabula.

Where is Clinical Practice Of Lecom Institute For Successful Living located?

Clinical Practice Of Lecom Institute For Successful Living is located at 524 W 24th St, Ashtabula, OH 44004. The listed phone number is (440) 496-6500.

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), 5 clinicians in 3 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 Obstetrics/Gynecology (3), Nurse Practitioner (1) and Podiatry (1). 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 Anthem Blue Cross and Blue Shield and Paramount 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 January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.