Individual provider Active NPI

Nicole Lynn McNeal, PA-C

  • Surgical Physician Assistant
  • Erie, PA
National Provider Identifier
1811873748
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA066877 Issued in PA
Practice address
120 E 2ND St Ste 401
Erie, PA 16507-1577
Phone
(814) 877-7310
NPI assigned
Aug 14, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA066877 PA Primary

Addresses

Primary practice location

120 E 2ND St Ste 401
Erie, PA 16507-1577

Mailing address

120 E 2ND St Ste 401
Erie, PA 16507-1577
Phone (814) 877-7310

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021004921 PA Practitioner - Physician Assistant 8921596073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

120 E 2ND St
4TH Floor
Erie, PA 16507-1537
Phone (814) 453-6751

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA066877PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Sep 15, 2025 Accepting new patients

Locations

120 E 2nd St
Fl 4
Erie, PA 16507
Phone (814) 453-6751

120 E 2nd St
Ste 401
Erie, PA 16507
Phone (814) 459-1013

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

Interoperability endpoints

  • Direct secure messaging: nicole.mcneal@upmcdirect.com

Organizations & group practices 1

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1811873748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST STE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071577",
            "telephone_number": "814-877-7310",
            "fax_number": "814-877-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST STE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071577",
            "telephone_number": "814-877-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA066877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.