Individual provider Active NPI

Michele K Erickson, RN, CEN, CPEN

  • Emergency Registered Nurse
  • Merrifield, MN
National Provider Identifier
1073262952
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
992215 Issued in MN
Practice address
16325 Tall Pines LN
Merrifield, MN 56465-4081
Phone
(763) 360-2014
NPI assigned
Mar 19, 2022
Last updated
Mar 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 992215 MN Primary

Addresses

Primary practice location

16325 Tall Pines LN
Merrifield, MN 56465-4081

Mailing address

16325 Tall Pines LN
Merrifield, MN 56465-4081
Phone (763) 360-2014

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
992215MNMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1073262952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 TALL PINES LN",
            "city": "MERRIFIELD",
            "state": "MN",
            "postal_code": "564654081",
            "telephone_number": "763-360-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 TALL PINES LN",
            "city": "MERRIFIELD",
            "state": "MN",
            "postal_code": "564654081",
            "telephone_number": "763-360-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MICHELE",
        "middle_name": "K",
        "credential": "RN, CEN, CPEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MN",
            "license": "992215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrifield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.