Individual provider Active NPI

Erin M Himes, PAC

  • Medical Physician Assistant
  • Tollesboro, KY
National Provider Identifier
1043283252
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA850 Issued in KY
Practice address
17521 W Ky 9
Tollesboro, KY 41189-9711
Phone
(606) 798-3151
Fax
(606) 798-2222
NPI assigned
Feb 8, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA850 KY Primary

Addresses

Primary practice location

17521 W Ky 9
Tollesboro, KY 41189-9711

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Other identifiers 1

IdentifierTypeStateIssuer
95005682MedicaidKY

Other names 1

  • Erin M Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050419000229 KY Practitioner - Physician Assistant 0345288692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636

927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Jan 3, 2006 Accepting new patients
St Claire Medical Center Inc. Physician Assistant CurrentSince Jan 1, 2005 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jan 3, 2006 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jan 1, 2005 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

17521 W Ky 9
Tollesboro, KY 41189
Phone (606) 798-3151

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: erin.himes.1@13661.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1043283252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 W KY 9",
            "city": "TOLLESBORO",
            "state": "KY",
            "postal_code": "411899711",
            "telephone_number": "606-798-3151",
            "fax_number": "606-798-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005682",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "COLLINS",
            "middle_name": "M",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tollesboro, KY

Sources for this page

Verify at the official NPI Registry.