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CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1679252118
Internal Medicine in Erie, PA

Active since July 12, 2023
5401 PEACH ST STE 3400, ERIE, PA 16509(814) 868-2200 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2023, Jul 12, 2023 (2 updates tracked since 2023).

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 1679252118) is a healthcare organization registered as an internal medicine in Erie, Pennsylvania and active in the NPI registry since July 2023. The organization lists Olivia J Topel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679252118
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLCREEK MANOR
Location Address5401 PEACH ST STE 3400Erie, PA 16509-2601
Mailing Address5535 Peach StErie, PA 16509-2603 · (814) 881-5234 · Fax (814) 871-4545
Phone(814) 868-2200
Organization SubpartYes
Authorized OfficialOlivia J TopelCfo · (814) 881-5234
Enumeration DateJuly 12, 2023
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1679252118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
5401 PEACH ST STE 3400, Erie, PA 16509
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Other Names 1

Other NameClinical Practice Of Lecom Institute For Successful Living

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

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

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clinical Practice Of Lecom Institute For Successful Living, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

James Lin, DO
Geriatric Medicine
NPI 1164599155
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts MedicareSame address
Anthony Colonna
Podiatry
NPI 1811337603
3330 PEACH ST SUITE 107
Erie, PA 16508
(814) 877-3668
✔ PECOS✔ Accepts Medicare2.0 mi
Matthew Becker, MD
Cardiovascular Disease (Cardiology)
NPI 1598932550
2315 MYRTLE ST SUITE 190
Erie, PA 16502
(814) 453-7767
✔ PECOS✔ Accepts Medicare2.6 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 Manor's NPI number?

The NPI number for Millcreek Manor is 1679252118. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is also known as Clinical Practice Of Lecom Institute For Successful Living.

Where is Millcreek Manor located?

Millcreek Manor is located at 5401 Peach St Ste 3400, Erie, PA 16509. The listed phone number is (814) 868-2200.

What is Millcreek Manor's specialty?

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

Is Millcreek Manor enrolled in Medicare?

Yes. Millcreek Manor is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millcreek Manor?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Millcreek Manor, in Cardiovascular Disease (Cardiology), Geriatric 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, 1 practice at this address and 3 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 Manor was last updated on October 4, 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.