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Millcreek Community Hospital

Organization Active NPI Family Medicine Physician · Erie, PA

NPI 1851287288 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1851287288
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Practice address
2000 W Grandview Blvd
Erie, PA 16509-1029
Phone
(814) 868-1088
Fax
(814) 868-1094
NPI assigned
Jun 13, 2025
Organization subpart
Yes
Parent organization (as reported)
MILLCREEK COMMUNITY HOSPITAL

Authorized official

Name
Jean Nejman
Title
Credentialing Specialist
Phone
(814) 868-2507

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

Affiliated clinicians 117

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 117

Medicare Care Compare: Hospital

Listed as
Lecom Medical Center and Behavioral Health Pav CCN 390198
Overall star rating
★☆☆☆☆ 1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Hospital certification: CCN 390198

Legal name
MILLCREEK COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 20, 2017
Beds
144 (138 certified)
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 20, 1948 in PA
Enrollment address
5515 Peach St
Erie, PA 16509-2603
Other Hospital Practice Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John M Ferretti
Individual 		Corporate Director
Board Member		 Aug 1, 2017
William F McCarthy
Individual 		Corporate Director
Board Member		 Jul 1, 1966
Seth Hintze Carter
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Silvia M Ferretti
Individual 		Corporate Director
Board Secretary		 Jul 1, 1966
James Yi Lin
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Marcus Babiak
Individual 		W-2 Managing Employee
Coo		 Jan 22, 2025
Danielle Marie Hansen
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Steven Inman
Individual 		Corporate Director
Ceo		 Dec 31, 2018
Robert George
Individual 		Corporate Director
Board Member		 May 9, 2020
David Rubino
Individual 		Corporate Director
Board Member		 Aug 1, 2017
Mary L Eckert
Individual 		Corporate Director
Board President		 Jul 1, 1966
Nancy Z Oneill
Individual 		Corporate Director
Board Member		 Jul 1, 1966
Dale P Sparber
Individual 		Corporate Director
Board Member		 Jul 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091028000324 PA Part a Provider - Hospital 8426020173 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Erie, PA; Waterford, PA; Albion, PA
O20250626000572 PA Part B Supplier - Hospital Department(S) 8426020173 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, PA

National Provider Directory

Tax ID family
Millcreek Community Hos (34 organizations share this tax ID)
Part of
Millcreek Community Hos

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213ES0103X

Addresses

Primary practice location

2000 W Grandview Blvd
Erie, PA 16509-1029

Mailing address

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Other names

  • LECOM Health West Grandview Primary Care Doing business as

Other providers in Erie, PA

All providers in Erie, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.