SHORT PROCEDURE UNIT
NPI 1619008554
Clinic/Center - Ambulatory Surgical in Coudersport, PA

Active since March 09, 2007
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-9300 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2023, Apr 13, 2022, Mar 27, 2018 (3 updates tracked since 2018).

About Short Procedure Unit NPPES

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

SHORT PROCEDURE UNIT (NPI 1619008554) is a healthcare organization registered as an ambulatory surgical in Coudersport, Pennsylvania and active in the NPI registry since March 2007. The organization lists Roger C. Yost, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619008554
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHARLES COLE MEMORIAL D/B/A UPMC COLE
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-9300
Organization SubpartNo
Authorized OfficialRoger C. YostCfo · (570) 321-3175
Enumeration DateMarch 9, 2007
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1619008554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1001 E 2ND ST, Coudersport, PA 16915

Other Names 1

Other NameShort Procedure Unit

Other Identifiers 1

Medicaid1000011270090PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Short Procedure Unit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20070504000079Part A · Critical Access HospitalDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Short Procedure Unit, which bills Medicare for the services they deliver. Of these, 15 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Emergency Medicine17
Nurse Practitioner13
Internal Medicine6
Family Practice4
Hematology/Oncology3
Anesthesiology2
Medical Oncology2
General Surgery1
6 other specialties6

Nearest to this location (20)

See all 54
Nephrology
NPI 1285157917
1001 E 2ND ST STE E
Coudersport, PA 16915
(814) 260-5576
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619600640
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1699724971
1001 E 2ND ST
Coudersport, PA 16915
(814) 655-7089
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1225237332
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0900
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1902538572
1001 E 2ND ST
Coudersport, PA 16915
(814) 320-3167
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205195054
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528357100
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720197726
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1396186938
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7474
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1396926374
1001 E 2ND ST STE C
Coudersport, PA 16915
(142) 745-2438
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1114585221
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396202743
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5320
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376017947
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5208
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174323158
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1306895206
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952341646
45 N PINE ST
Port Allegany, PA 16743
(814) 642-9655
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1376066282
288 SIZERVILLE RD
Emporium, PA 15834
(814) 486-0810
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1518266915
139 MAIN ST
Eldred, PA 16731
(814) 225-4241
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1407378383
535 MAIN ST STE 1
Olean, NY 14760
(716) 372-0141
✔ PECOS✔ Accepts Medicare32 mi
Medical Oncology
NPI 1487619581
15 MEADE ST STE L3
Wellsboro, PA 16901
(570) 723-2855
✔ PECOS✔ Accepts Medicare35 mi
See all 54 clinicians

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 Charles Cole Memorial D/B/A Upmc Cole's NPI number?

The NPI number for Charles Cole Memorial D/B/A Upmc Cole is 1619008554. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is also known as Short Procedure Unit.

Where is Charles Cole Memorial D/B/A Upmc Cole located?

Charles Cole Memorial D/B/A Upmc Cole is located at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-9300.

What is Charles Cole Memorial D/B/A Upmc Cole's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Charles Cole Memorial D/B/A Upmc Cole enrolled in Medicare?

Yes. Charles Cole Memorial D/B/A Upmc Cole is registered in the Medicare PECOS enrollment system.

When is Charles Cole Memorial D/B/A Upmc Cole's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Critical Access Hospital) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles Cole Memorial D/B/A Upmc Cole?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 14 Medicare specialties reassign their Medicare billing to Charles Cole Memorial D/B/A Upmc Cole. 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 Emergency Medicine (17), Nurse Practitioner (13) and Internal Medicine (6). Of these, 15 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles Cole Memorial D/B/A Upmc Cole was last updated on November 6, 2023. 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.