Stephanie Marie Erichsen, A-GNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311183-01 Issued in NY

Practice address

153 Constant Ave
Staten Island, NY 10314-2367

Phone

(347) 522-2326

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1023794336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CONSTANT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142367",
            "telephone_number": "347-522-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CONSTANT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142367",
            "telephone_number": "347-522-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICHSEN",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311183-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Tarektaha Erfan, PHARMD
• Areen Erfan
• Jessica Ergasheva
• Mitaire Okeoghene Erhieyovwe, MD
• Kingsley Eghosa Erhunmwunsee
• Rachel Ericksen
• Courtney Pase Erickson
• Erin Brunton, LLC
• Denise Erkman
• Martin Erman, PH.D.

• Adult Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.