Active NPI
Melissa G Erickson, MD
- Family Medicine Physician
- Florence, KY
National Provider Identifier
1043289994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47497
- Practice address
- 68 Cavalier Boulevard
Florence, KY 41042-1645 - Phone
- (859) 594-1010
- Fax
- (859) 372-5004
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.120003 | OH | |
| Family Medicine Physician | 207Q00000X | 47497 | KY | Primary |
Addresses
Primary practice location
68 Cavalier Boulevard
Florence, KY 41042-1645
Mailing address
2830 Victory Parkway
Payor Enrollment
Cincinnati, OH 45206-1785
Phone (513) 585-5507
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200810110 | Medicaid | IN | |
| DC3600 | Other | IN | RAILROAD GROUP |
| P00416673 | Other | IN | RAILROAD INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7675 Wellness Way
West Chester, OH 45069-2509
Phone (513) 475-7400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP018 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- merickson77918@direct.uchealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
dba Ascension St. Vincent Kokomo Services
- Family Medicine Physician
- Kokomo, IN
- NPI 1982736377
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
dba Alliance Medical Transport Service
- Ambulance
- Cincinnati, OH
- NPI 1689618423
Hospital
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1043289994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PARKWAY",
"address_2": "PAYOR ENROLLMENT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-585-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CAVALIER BOULEVARD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421645",
"telephone_number": "859-594-1010",
"fax_number": "859-372-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "MELISSA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.120003",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "47497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200810110",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "DC3600",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD INDIVIDUAL",
"identifier": "P00416673",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.