Erica D'Anis, CPNP

Individual provider Active NPI Pediatric Nurse Practitioner · Willits, CA

NPI 1073097630 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1073097630
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
95010207 (CA)
Practice address
3 Marcela Dr
Suite C
Willits, CA 95490
Phone
(707) 459-6115
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95171328CAMDRegistered Nurse
95010207CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willits Hospital Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95171328 CA
Pediatric Nurse Practitioner 363LP0200X 95010207 CA Yes

Addresses

Primary practice location

3 Marcela Dr
Suite C
Willits, CA 95490

Mailing address

3 Marcela Dr
Suite C
Willits, CA 95490
Phone (707) 459-6115

Other practice location 1

260 Hospital Dr Ste 204
Ukiah, CA 95482-4568
Phone (707) 463-7459

Other names

  • Erica Baumker Former name

Other providers in Willits, CA

All providers in Willits, CA · Pediatric Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.