Individual provider Active NPI

Brian Roy Erickson, FNP

  • Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1083108419
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010628 Issued in NC
Practice address
1995 Wellness Blvd Ste 110&210
Monroe, NC 28110-7769
Phone
(704) 384-1140
Fax
(704) 384-1141
NPI assigned
Jun 19, 2018
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010628 NC Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 5010628 NC

Addresses

Primary practice location

1995 Wellness Blvd Ste 110&210
Monroe, NC 28110-7769

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9200

Other practice location 1

1450 Matthews Township Pkwy Ste 380
Matthews, NC 28105
Phone (704) 384-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address berickson290693@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001001274 NC Practitioner - Nurse Practitioner 0244581254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10030 Gilead Rd
Suite 300
Huntersville, NC 28078-7545
Phone (704) 384-7972

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010628NCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Oct 20, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 5, 2018 Accepting new patients
Hospitalist Solution, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 5, 2018 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

338 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 502-8570

10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972

1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500

1995 Wellness Blvd
#110210B
Monroe, NC 28110

1995 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 316-3030

1995 Wellness Blvd
Ste 110210
Monroe, NC 28110
Phone (704) 384-1140

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: berickson290693@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1083108419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9200",
            "fax_number": "704-384-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 WELLNESS BLVD STE 110&210",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107769",
            "telephone_number": "704-384-1140",
            "fax_number": "704-384-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Matthews Township Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-384-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRIAN",
        "middle_name": "ROY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010628",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5010628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "berickson290693@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1450 Matthews Township Pkwy Ste 380",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.