Active NPI
Lynne M Birkmeyer, MD
- Pediatrics Physician
- Erie, PA
National Provider Identifier
1124029301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD442035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025727420001 | Medicaid | PA | |
| 1528733 | Other | UNITED HEALTHCARE | |
| 010034397CT03 | Other | CT | BLUECROSS/BLUE SHIELD |
| 0R4432 | Other | HEALTHNET | |
| 265500 | Other | MVP | |
| 01034397 | Other | CIGNA | |
| 343970 | Other | CONNECTICARE | |
| HAP143 | Other | OXFORD | |
| 001343970 | Medicaid | CT | |
| 2602753 | Other | GHI | |
| 2396621 | Other | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034397 | CT | MD | Pediatrics Physician |
| 034397 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Net | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Erie, PA
- NPI 1245209170
-
- Federally Qualified Health Center (FQHC)
- Harborcreek, PA
- NPI 1336301092
-
- Federally Qualified Health Center (FQHC)
- Erie, PA
- NPI 1831484922
-
- Federally Qualified Health Center (FQHC)
- Erie, PA
- NPI 1972826626
-
- Federally Qualified Health Center (FQHC)
- Girard, PA
- NPI 1992185458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.