NPIMap

Individual provider Active NPI

James Y Lin, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Erie, PA
National Provider Identifier
1164599155
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OS013607 Issued in PA
Practice address
5401 Peach St Ste 3400
Erie, PA 16509-2601
Phone
(814) 868-2200
Fax
(814) 868-2138
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS013607 PA Primary

Addresses

Primary practice location

5401 Peach St Ste 3400
Erie, PA 16509-2601

Mailing address

1 Lecom PL
Erie, PA 16505-2571

Other identifiers 2

IdentifierTypeStateIssuer
1017456160015MedicaidPA
1017456160001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000059 PA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3779584867 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Practice of Lecom Institute for Successful LivingGroup PAC ID 2466890033, 14 clinicians

Practice addresses (Care Compare)

16954 Conneaut Lake Rd
Meadville, PA 16335-3738
Phone (814) 844-2858

5401 Peach St
Erie, PA 16509-2601
Phone (814) 868-2200

5535 Peach St
Erie, PA 16509-2603

9040 Wattsburg Rd
Erie, PA 16509-6024
Phone (888) 983-1735

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Vna Hospice Services of Erie County Hospice, Erie, PA, CCN 391581
  • Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198
  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Millcreek Manor Nursing home, Erie, PA, CCN 396072
  • LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg Nursing home, Erie, PA, CCN 396081
  • Lecom at Elmwood Gardens, LLC Nursing home, Erie, PA, CCN 395474
  • Lecom at Presque Isle, Inc Nursing home, Erie, PA, CCN 395404

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal30
Removal of tissue85
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013607PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Practice of Lecom Institute for Successful Living Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Lecom at Snyder Memorial CurrentSince Jun 1, 2025 Accepting new patients
Corry Memorial Hospital Association CurrentSince Nov 20, 2025 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Jul 1, 2008 Accepting new patients
Medical Associates of Erie Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Lecom at Asbury Ridge LLC Current Accepting new patients
Millcreek Manor Internal Medicine CurrentSince Aug 13, 2023 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Apr 1, 2024 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Past Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Internal Medicine Past Accepting new patients
Medical Associates of Erie Geriatric Medicine Past Accepting new patients
Lecom at Elmwood Gardens LLC Past Accepting new patients
Millcreek Manor Past Accepting new patients
Lecom at Presque Isle Inc Past Accepting new patients

Locations

524 W 24th St
Ashtabula, OH 44004
Phone (440) 496-6500

300 York St
Corry, PA 16407
Phone (814) 664-3979

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

3910 Schaper Ave
Erie, PA 16508
Phone (814) 453-5072

1 Lecom Pl
Erie, PA 16505

2628 Elmwood Ave
Erie, PA 16508
Phone (814) 452-5081

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

5401 Peach St
Erie, PA 16509
Phone (814) 868-2170

5401 Peach St
Ste 3400
Erie, PA 16509
Phone (814) 868-2200

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

5535 Peach St
Fl 1
Erie, PA 16509
Phone (814) 868-3488

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

9040 Wattsburg Rd
Erie, PA 16509
Phone (814) 737-0833

Interoperability endpoints

  • Direct secure messaging: jlin@lisl.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Millcreek Community HospitalErie, PA, CCN 390198 Hospital Corporate Director Jan 1, 2025
Millcreek Community HospitalErie, PA, CCN 39S198 Hospital Other Jan 1, 2025
Lecom HealthErie, PA, CCN 396072 Skilled nursing facility Corporate Director
Trustee of the SNF
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Apr 28, 2025
Lecom Nursing and RehabilitationErie, PA, CCN 395404 Skilled nursing facility Corporate Director
Trustee of the SNF
Adp of the SNF		 Feb 1, 2016
Jul 1, 2024
Apr 29, 2025
Lecom at Village Square LLCErie, PA, CCN 395672 Skilled nursing facility Corporate Director Feb 1, 2016
Lecom Senior Living CenterErie, PA, CCN 395474 Skilled nursing facility Corporate Director
Trustee of the SNF
Adp of the SNF		 Oct 1, 2023
Jul 1, 2024
Apr 28, 2025
Lecom at Snyder MemorialMarienville, PA, CCN 395728 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Saint Mary'S at Asbury RidgeErie, PA, CCN 396081 Skilled nursing facility General Partnership Interest
Trustee of the SNF
Adp of the SNF		 May 1, 2025
Mar 29, 2024
Feb 14, 2025
Visiting Nurse Association of Erie CountyErie, PA, CCN 397034 Home health agency Corporate Director Jan 26, 2016
Vna Hospice Services of Erie CountyErie, PA, CCN 391581 Hospice Corporate Director Jan 26, 2016
Rural Health Clinic of WattsburgErie, PA, CCN 393929 Rural health clinic Corporate Director
W-2 Managing Employee		 Mar 29, 2024
Jan 7, 2008
Rural Health Clinic of AshtabulaAshtabula, OH, CCN 363882 Rural health clinic Corporate Director
W-2 Managing Employee		 Mar 29, 2024
Mar 29, 2024
Rural Health Clinic of MeadvilleMeadville, PA, CCN 393930 Rural health clinic Corporate Director
W-2 Managing Employee		 Mar 29, 2024
Mar 29, 2024

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1164599155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 PEACH ST STE 3400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092601",
            "telephone_number": "814-868-2200",
            "fax_number": "814-868-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JAMES",
        "middle_name": "Y",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS013607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017456160015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017456160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.