Jean Erickson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

67358 Issued in WV

Practice address

613 Randolph Ave
Elkins, WV 26241-3950

Phone

(304) 591-9425

NPI assigned

Nov 25, 2006

Reactivated

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbridwell643236@soc.inova.org
• Direct secure messaging: jeanbridwell@sgmci.allscriptsdirect.net

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.

• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment NPD
• Jefferson Urgent Care, LLC

  • General Practice Physician
  • Charles Town, WV
  • NPI 1992726236
  Medicare reassignment NPD
• East Mountain Health Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1366925851
  NPD
• East Mountain Health Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• St George Medical Clinic Inc

  • Pharmacy
  • Davis, WV
  • NPI 1326796822
  NPD
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1104992965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413950",
            "telephone_number": "304-591-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413950",
            "telephone_number": "304-591-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "deactivation_date": "2014-03-13",
        "reactivation_date": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "67358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earlene Rose England, FNP
• Brandy English, LPC
• Christian Scott Ennis
• Shawn Donald Ennis
• Eric L. Snyder DDS
• Edward Erion
• Ernest Flores, MD, LLC
• Caryline Erp
• Constance Kay Ervin Horne
• Patricia Esch

• Family Nurse Practitioner in Elkins, WV
• Providers in Elkins, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.