MEADVILLE MEDICAL CENTER PHYSICIAN SERVICES – Multi-Specialty Clinic/Center, NPI 1629633573
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MEADVILLE MEDICAL CENTER PHYSICIAN SERVICES
3055 Innovation Way
Hermitage, PA 161487905
Phone: (814) 333-5757
Fax: (724) 662-4159
Type: Location
1034 Grove St
Meadville, PA 163352945
Phone: (814) 333-5928
Fax: (814) 333-5956
Type: Location
3055 Innovation Way Ste A
Hermitage, PA 161487905
Phone: (814) 333-5757
Fax: (724) 662-4159
Type: Location
Meadville Medical Center Grove Street, 1034, Grove Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States
MEADVILLE, PA 163352945
Phone: (814) 333-5000
Fax: (814) 333-5640
Type: Mailing
Meadville Medical Center, 751, Liberty Street, Meadville, Crawford County, Pennsylvania, 16335, United States
MEADVILLE, PA 163352559
Phone: (814) 333-5081
Fax: (814) 333-5083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (645 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190807000485 | O | Clinic/Group Practice | PA | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16148)
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