Individual provider Active NPI

Erin Dwyer, N.P.-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1003260894
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004184 Issued in CA
Practice address
4060 4TH Ave
Suite 310
San Diego, CA 92103-2116
Phone
(619) 297-4707
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95004184 CA
Family Nurse Practitioner 363LF0000X 95004184 CA Primary

Addresses

Primary practice location

4060 4TH Ave
Suite 310
San Diego, CA 92103-2116

Mailing address

4060 Fourth Ave
Suite 310
San Diego, CA 92103-2116
Phone (619) 297-4707

Other identifiers 1

IdentifierTypeStateIssuer
NP95004184OtherCACA NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160428000912 CA Practitioner - Nurse Practitioner 0941509798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

4060 4TH Ave
Suite 310
San Diego, CA 92103-2120
Phone (619) 297-4707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95004184CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 26, 2017 Accepting new patients
Genesis Healthcare Partners PC CurrentSince May 1, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

320 Santa Fe Dr
Ste 108
Encinitas, CA 92024
Phone (760) 436-4558

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

8851 Center Dr
Ste 501
La Mesa, CA 91942
Phone (619) 697-2456

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4060 4th Ave
Ste 310
San Diego, CA 92103
Phone (619) 297-4707

230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

3444 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (858) 429-7646

3444 Kearny Villa Rd
Ste 201
San Diego, CA 92123
Phone (858) 430-1101

11770 Bernardo Plaza Ct
Ste 270
San Diego, CA 92128
Phone (858) 485-0554

4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erin.dwyer.1@3663.direct.athenahealth.com
  • Direct secure messaging: edwyer28239@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1003260894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-297-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-297-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "ERIN",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95004184",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NP LICENSE",
            "identifier": "NP95004184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.