Individual provider Active NPI

David W Erickson, NP

  • Family Nurse Practitioner
  • Madison, WI
National Provider Identifier
1144206715
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
762 Issued in WI
Practice address
4122 E Towne Blvd
Madison, WI 53704
Phone
(608) 242-6855
Fax
(608) 242-6848
NPI assigned
Dec 15, 2005
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 762 WI Primary

Addresses

Primary practice location

4122 E Towne Blvd
Madison, WI 53704

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other identifiers 5

IdentifierTypeStateIssuer
1009390OtherWIPHYS PLUS PROV #
391023846OtherWICOMM INS PROV #
43888400MedicaidWI
500010950OtherWIRAILROAD MEDICARE PROV #
70OtherWIDEANCARE PROV #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derickson481686@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060726000053 WI Practitioner - Nurse Practitioner 4082627716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 30, 2010 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 30, 2010 Accepting new patients
SSM Health Care of Wisconsin, Inc. Past Accepting new patients
SSM Health Treatment and Recovery Center Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients
SSM Health Care of Wisconsin Inc Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients
SSM Health Care of Wisconsin Inc Past Accepting new patients
Take Care Health Wisconsin, S.C Family Past Accepting new patients

Locations

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

4122 E Towne Blvd
Madison, WI 53704
Phone (608) 242-6855

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 9

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1144206715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 E TOWNE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53704",
            "telephone_number": "608-242-6855",
            "fax_number": "608-242-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS PLUS PROV #",
            "identifier": "1009390",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM INS PROV #",
            "identifier": "391023846",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43888400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "500010950",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE PROV #",
            "identifier": "70",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derickson481686@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "4122 E Towne Blvd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.