PRIMARY CARE SERVICES
NPI 1962804955
Internal Medicine in Meadville, PA

Active since September 22, 2014CLIA 39D2089283 · Waiver
991 PARK AVE, MEADVILLE, PA 16335(814) 373-4298(814) 724-2196 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2026, Jan 15, 2026, Dec 18, 2024 and 7 more (10 updates tracked since 2016).

About Primary Care Services NPPES

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

PRIMARY CARE SERVICES (NPI 1962804955) is a healthcare organization registered as an internal medicine in Meadville, Pennsylvania and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 23, 2026, maintains 13 additional practice locations, and lists Cory Jackson, Controller, as its authorized official.

NPPES Registry Identity

NPI1962804955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE SERVICES
Location Address991 PARK AVEMeadville, PA 16335-3344
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 373-4298 · Fax (814) 724-2196
Fax(814) 724-2196
Organization SubpartYes
Authorized OfficialCory JacksonController · (814) 333-5766
Enumeration DateSeptember 22, 2014
Last NPPES UpdateApril 24, 202610 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1962804955 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
991 PARK AVE, Meadville, PA 16335

Secondary Practice Locations 13

Location 112387 Conneaut Lake RdConneaut Lake, PA 16316-4203 · Phone (814) 382-0221 · Fax (814) 382-0231
Location 2220 W Plum St Ste 750Edinboro, PA 16412-2169 · Phone (814) 333-5430 · Fax (814) 314-2901
Location 31009 Water StMeadville, PA 16335-3465 · Phone (814) 724-3333 · Fax (814) 724-3302
Location 4901 Water StMeadville, PA 16335-3434 · Phone (814) 333-5711 · Fax (814) 333-5712
Location 58508 State Highway 285Conneaut Lake, PA 16316-1120 · Phone (814) 382-5703 · Fax (814) 382-5707
Location 6180 N Franklin St Ste BCochranton, PA 16314-9706 · Phone (814) 425-1126 · Fax (814) 425-1156
Location 7210 N Mercer StLinesville, PA 16424-9232 · Phone (814) 683-2014 · Fax (814) 683-2042
Location 81015 Grove StMeadville, PA 16335-2905 · Phone (814) 724-3333 · Fax (814) 724-3302
Location 9707 Erie StSaegertown, PA 16433-5003 · Phone (814) 763-2010 · Fax (814) 763-5535
Location 102425 Garden Way Ste 102Hermitage, PA 16148-5215 · Phone (724) 981-1777 · Fax (724) 342-2879
Location 1162 Strawbridge AveSharon, PA 16146-3234 · Phone (724) 347-2955 · Fax (724) 347-4664
Location 127264 Warren Sharon RdBrookfield, OH 44403-9691 · Phone (330) 448-7800 · Fax (330) 448-7747
Location 13880 W Liberty StHubbard, OH 44425-1753 · Phone (330) 269-1934 · Fax (330) 568-4297

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)

Primary Care Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Primary Care Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice15
Nurse Practitioner10
Internal Medicine8
Diagnostic Radiology2
General Practice1

Nearest to this location (20)

See all 36
Internal Medicine
NPI 1083906119
991 PARK AVE
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245262062
991 PARK AVE
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558366971
991 PARK AVE
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396573192
991 PARK AVE
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932136082
1009 WATER ST
Meadville, PA 16335
(814) 337-2273
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1831152099
901 WATER ST
Meadville, PA 16335
(814) 337-1144
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1861948838
901 WATER ST
Meadville, PA 16335
(814) 337-1144
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1902501521
901 WATER ST
Meadville, PA 16335
(814) 333-5711
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1649703604
901 WATER ST
Meadville, PA 16335
(814) 333-5711
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1285614263
1034 GROVE ST
Meadville, PA 16335
(814) 373-4233
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1447497136
1015 GROVE ST
Meadville, PA 16335
(814) 724-3333
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1992737332
765 LIBERTY ST STE 307
Meadville, PA 16335
(814) 373-4298
✔ PECOS✔ Accepts Medicare0.5 mi
Diagnostic Radiology
NPI 1801415567
765 LIBERTY ST STE 200
Meadville, PA 16335
(143) 732-2308
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1447358775
751 LIBERTY ST
Meadville, PA 16335
(814) 333-7016
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1073963567
707 ERIE ST
Saegertown, PA 16433
(814) 763-2010
✔ PECOS✔ Accepts Medicare5.7 mi
Family Practice
NPI 1811148422
707 ERIE ST
Saegertown, PA 16433
(814) 763-2010
✔ PECOS✔ Accepts Medicare5.7 mi
Internal Medicine
NPI 1346508793
12387 CONNEAUT LAKE RD
Conneaut Lake, PA 16316
(814) 382-0221
✔ PECOS✔ Accepts Medicare7.5 mi
Family Practice
NPI 1790717163
180 N FRANKLIN ST STE B
Cochranton, PA 16314
(814) 424-1126
✔ PECOS✔ Accepts Medicare9.2 mi
Family Practice
NPI 1831113265
180 N FRANKLIN ST STE B
Cochranton, PA 16314
(814) 425-1126
✔ PECOS✔ Accepts Medicare9.2 mi
Nurse Practitioner
NPI 1538305545
104 E ADAMS ST
Cochranton, PA 16314
(814) 425-1897
✔ PECOS✔ Accepts Medicare9.7 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2089283

Primary Care Services · Meadville, PA
Active · expires Dec 23, 2026
CLIA Number39D2089283
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorDr. Ryan D. Landefeld
Laboratory Phone(814) 373-4296
Laboratory LocationPrimary Care Services991 Park Avenue, Meadville, PA 16335
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care Services's NPI number?

The NPI number for Primary Care Services is 1962804955. It was assigned to this organization in the NPPES registry on September 22, 2014.

Where is Primary Care Services located?

Primary Care Services is located at 991 Park Ave, Meadville, PA 16335. The listed phone number is (814) 373-4298.

What is Primary Care Services's specialty?

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

Is Primary Care Services enrolled in Medicare?

Yes. Primary Care Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Primary Care Services. 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 Family Practice (15), Nurse Practitioner (10) and Internal Medicine (8). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2089283) is associated with this NPI, valid through December 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Services accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Primary Care Services 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 Primary Care Services was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.