Active NPI
Tatyana Erdmann, P.A.
- Physician Assistant
- Dewey, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6763
- Practice address
- 12075 E State Route 69 Ste B
Dewey, AZ 86327-4569 - Phone
- (928) 772-1673
- Fax
- (928) 772-1674
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6763 | AZ | Primary |
Addresses
Primary practice location
12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Mailing address
12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone (928) 772-1673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129001672 | AZ | Practitioner - Physician Assistant | 3375582232 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Pathology Associates | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Uhs of Pennsylvania Inc | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
1298 W Finnie Flat Rd
Ste 101
Camp Verde, AZ 86322
Phone (928) 639-5555
1298 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5509
340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000
61 Bell Rock Plz
Sedona, AZ 86351
Phone (928) 204-4999
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Psychiatric Hospital
- Ambler, PA
- NPI 1295708832
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Pennsylvania State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prescott Healthcare Solutions LLC
Practice addresses (Care Compare)
12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673
3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583
3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582
3257 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582
Hospital & facility affiliations
- Yavapai Regional Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1073659611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 E STATE ROUTE 69 STE B",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863274569",
"telephone_number": "928-772-1673",
"fax_number": "928-213-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12075 E STATE ROUTE 69 STE B",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863274569",
"telephone_number": "928-772-1673",
"fax_number": "928-772-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMANN",
"first_name": "TATYANA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dewey, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.