Active NPI
Erica Wolff Verkleeren, MD
- Family Medicine Physician
- Addison, NY
National Provider Identifier
1063407583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 241430
- Practice address
- 15 Community Dr
Addison, NY 14801-1140 - Phone
- (607) 359-2291
- Fax
- (607) 359-2294
- NPI assigned
- Sep 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 241430 | NY | Primary |
Addresses
Primary practice location
15 Community Dr
Addison, NY 14801-1140
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02825212 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Community Dr
Addison, NY 14801-1140
Phone (607) 359-2291
Hospital & facility affiliations
- Carefirst / Southern Tier Hospice and Palliative
- Arnot Ogden Medical Center
- Ira Davenport Memorial Hospital
- Corning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241430 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Medical Services PLLC | Family Medicine | Current | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Arnot Ogden Medical Center | Past | Accepting new patients |
Locations
15 Community Dr
Addison, NY 14801
Phone (607) 359-2291
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
Interoperability endpoints
- erica.verkleeren@arn.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Community Based Hospice Care Agency
- Painted Post, NY
- NPI 1285638775
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1063407583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050",
"fax_number": "607-873-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMUNITY DR",
"city": "ADDISON",
"state": "NY",
"postal_code": "148011140",
"telephone_number": "607-359-2291",
"fax_number": "607-359-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERKLEEREN",
"first_name": "ERICA",
"middle_name": "WOLFF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "241430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02825212",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Addison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.