NPIMap

Individual provider Active NPI

Caitlyn Erickson, PA

  • Medical Physician Assistant
  • Hillsboro, OR
National Provider Identifier
1043793581
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
545 SE Oak St Ste F
Hillsboro, OR 97123-4147
Phone
(971) 228-8855
Fax
(503) 206-0118
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 OR Primary

Addresses

Primary practice location

545 SE Oak St Ste F
Hillsboro, OR 97123-4147

Mailing address

545 SE Oak St Ste F
Hillsboro, OR 97123-4147
Phone (971) 228-8855

Other practice location 1

1134 SW Jefferson St Apt 308
Portland, OR 97201-3399
Phone (541) 404-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326003085 OR Practitioner - Physician Assistant 0446590657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Rheumatology Clinics LLCGroup PAC ID 2668804576, 4 clinicians

Practice addresses (Care Compare)

545 SE Oak St
Suite F
Hillsboro, OR 97123-4147
Phone (971) 228-8855

Hospital & facility affiliations

National Provider Directory

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

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1043793581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST STE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "971-228-8855",
            "fax_number": "503-206-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST STE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "971-228-8855",
            "fax_number": "503-206-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 SW Jefferson St Apt 308",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972013399",
            "country_code": "US",
            "telephone_number": "541-404-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CAITLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.