Individual provider Active NPI

Lynne M Birkmeyer, MD

  • Pediatrics Physician
  • Erie, PA
National Provider Identifier
1124029301
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD442035 Issued in PA
Practice address
1202 State St
Erie, PA 16501-1914
Phone
(814) 455-7222
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD442035 PA Primary
Pediatrics Physician 208000000X 034397 CT
Pediatrics Physician 208000000X 034397 VA

Addresses

Primary practice location

1202 State St
Erie, PA 16501-1914

Mailing address

4022 Zuck Rd
Erie, PA 16506-4592
Phone (814) 877-5424

Other practice location 1

4022 Zuck Road
Your Pediatric Connection West
Erie, PA 16506-4592
Phone (814) 877-5424

Other identifiers 11

IdentifierTypeStateIssuer
1025727420001MedicaidPA
1528733OtherUNITED HEALTHCARE
010034397CT03OtherCTBLUECROSS/BLUE SHIELD
0R4432OtherHEALTHNET
265500OtherMVP
01034397OtherCIGNA
343970OtherCONNECTICARE
HAP143OtherOXFORD
001343970MedicaidCT
2602753OtherGHI
2396621OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323000144 PA Practitioner - Pediatric Medicine 7618252255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034397CTMDPediatrics Physician
034397VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Net CurrentSince Feb 8, 2017 Accepting new patients
Community Health Net Current Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients

Locations

4401 Iroquois Ave
Erie, PA 16511
Phone (814) 455-7222

1202 State St
Erie, PA 16501
Phone (814) 454-4530

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 454-4530

Interoperability endpoints

  • Direct secure messaging: lynne.birkmeyer.p1@direct.communityhealthnet.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1124029301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064592",
            "telephone_number": "814-877-5424",
            "fax_number": "814-877-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-455-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4022 Zuck Road",
            "address_2": "Your Pediatric Connection West",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165064592",
            "country_code": "US",
            "telephone_number": "814-877-5424",
            "fax_number": "814-877-5423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKMEYER",
        "first_name": "LYNNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD442035",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "034397",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "034397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025727420001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1528733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "010034397CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0R4432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "265500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "01034397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "343970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAP143",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001343970",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2602753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2396621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.