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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.

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1912768425
Internal Medicine in Erie, PA

Active since January 22, 2024
5401 PEACH ST STE 3400, ERIE, PA 16509(814) 868-2200 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Jan 26, 2026 (2 updates tracked since 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 1912768425), doing business as Lecom Institute For Successful Living, is a healthcare organization registered as an internal medicine in Erie, Pennsylvania and active in the NPI registry since January 2024. The organization maintains 10 additional practice locations and lists James Y Lin, President, as its authorized official.

NPPES Registry Identity

NPI1912768425
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Location Address5401 PEACH ST STE 3400Erie, PA 16509-2601
Mailing Address5401 Peach St Ste 3400Erie, PA 16509-2601 · (814) 868-2200
Phone(814) 868-2200
Organization SubpartYesParent: Millcreek Manor
Authorized OfficialJames Y LinPresident · (814) 602-7783
Enumeration DateJanuary 22, 2024
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1912768425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
5401 PEACH ST STE 3400, Erie, PA 16509
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Other Names 1

Doing Business AsLecom Institute For Successful Living

Secondary Practice Locations 10

Location 12628 Elmwood AveErie, PA 16508-1421 · Phone (814) 920-1220
Location 2149 W 22nd StErie, PA 16502-2804 · Phone (814) 452-3271
Location 34114 Schaper AveErie, PA 16508-3350 · Phone (814) 868-0831
Location 49040 Wattsburg RdErie, PA 16509-6024 · Phone (814) 767-0833
Location 516954 Conneaut Lake RdMeadville, PA 16335-3738 · Phone (814) 844-2858
Location 64855 W Ridge RdErie, PA 16506-1213 · Phone (814) 836-5300
Location 741 W Gore RdErie, PA 16509-3621 · Phone (814) 864-4867
Location 8322 Washington PlErie, PA 16505-2548 · Phone (814) 454-2222
Location 92 Gibson StNorth East, PA 16428-1056 · Phone (814) 725-3665
Location 105535 Peach StErie, PA 16509-2603 · Phone (814) 868-3888

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)

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

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Clinical Practice Of Lecom Institute For Successful Living, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner7
Podiatry6
Cardiovascular Disease (Cardiology)1
Endocrinology1
Family Practice1
Geriatric Medicine1
Hospitalist1
Vascular Surgery1

Clinicians, nearest first (19)

Brandi Brooks, CRNP
Nurse Practitioner
NPI 1629587159
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Carleen Cho, MD
Vascular Surgery
NPI 1205231982
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Alan Kidon, DPM
Podiatry
NPI 1295172211
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare0.1 mi
James Lin, DO
Geriatric Medicine
NPI 1164599155
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Sydney Miggantz
Podiatry
NPI 1457099061
5401 PEACH ST
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Ashley Sonney, FNP
Nurse Practitioner
NPI 1750130555
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-3999
✔ PECOS✔ Accepts Medicare0.1 mi
Jordan Vroman, DO
Family Practice
NPI 1982271946
5515 PEACH ST
Erie, PA 16509
(814) 864-4031
✔ PECOS✔ Accepts Medicare0.1 mi
Fernando Melaragno, DO
Endocrinology
NPI 1912161613
5535 PEACH ST
Erie, PA 16509
(814) 868-3488
✔ PECOS✔ Accepts Medicare0.1 mi
Anthony Popoff, DPM
Podiatry
NPI 1073245213
1858 W GRANDVIEW BLVD
Erie, PA 16509
(814) 520-4835
✔ PECOS✔ Accepts Medicare0.8 mi
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
Joshua Metzger, CRNP
Nurse Practitioner
NPI 1669951448
2315 MYRTLE ST STE 120
Erie, PA 16502
(814) 456-9197
✔ PECOS✔ Accepts Medicare2.6 mi
Stephanie Unger, CRNP
Nurse Practitioner
NPI 1437768413
300 STATE ST STE 103A
Erie, PA 16507
(814) 877-8540
✔ PECOS3.9 mi
Alison Mccann, CRNP
Nurse Practitioner
NPI 1538612726
9040 WATTSBURG RD
Erie, PA 16509
(814) 737-0833
✔ PECOS✔ Accepts Medicare5.7 mi
Julie Knapka, CRNP
Nurse Practitioner
NPI 1437152006
16954 CONNEAUT LAKE RD
Meadville, PA 16335
(814) 200-9904
✔ PECOS✔ Accepts Medicare32 mi
Duane Ehredt, DPM
Podiatry
NPI 1396024477
7000 EUCLID AVE
Cleveland, OH 44103
(216) 241-8654
✔ PECOS89 mi
Shelby Knapp, FNP
Nurse Practitioner
NPI 1750154886
120 1ST ST
Bolivar, NY 14715
(585) 928-1600
✔ PECOS99 mi
Colette Yori Tobia, D.P.M
Podiatry
NPI 1598147290
8307 NW 88TH AVE
Tamarac, FL 33321
(954) 721-3411
✔ PECOS✔ Accepts Medicare1,092 mi
Steven Do, D.O.
Hospitalist
NPI 1447611124
8411 W BELLFORT AVE
Houston, TX 77071
(713) 429-0808
✔ PECOS✔ Accepts Medicare1,214 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 1912768425. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as LECOM Institute for Successful Living.

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

Clinical Practice Of Lecom Institute For Successful Living is located at 5401 Peach St Ste 3400, Erie, PA 16509. The listed phone number is (814) 868-2200.

What is Clinical Practice Of Lecom Institute For Successful Living's specialty?

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

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), 19 clinicians in 8 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 Nurse Practitioner (7), Podiatry (6) and Cardiovascular Disease (Cardiology) (1). Of these, 14 practice 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 Clinical Practice Of Lecom Institute For Successful Living was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.