Individual provider Active NPI

Erick Allan Haldorson, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1144338039
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN082588 Issued in AZ
Practice address
2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822
Phone
(520) 459-0000
Fax
(520) 459-5141
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 RN082588 AZ Primary

Addresses

Primary practice location

2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822

Mailing address

2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822
Phone (520) 459-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513000833 AZ Practitioner - Nurse Practitioner 7618100991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc a Kaplan PLLCGroup PAC ID 0547208696, 3 clinicians

Practice addresses (Care Compare)

2585 E Wilcox C
Sierra Vista, AZ 85635-2822

2585 E Wilcox Dr C
Sierra Vista, AZ 85635-2822
Phone (520) 459-0000

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

Merit-based Incentive Payment System (MIPS)

Final score
74.61 of 100Reported as group
Quality
81.29
Promoting interoperability
59
Improvement activities
40
Cost
68.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc a Kaplan PLLC CurrentSince Feb 8, 2014 Accepting new patients

Locations

2585 E Wilcox Dr
Ste C
Sierra Vista, AZ 85635
Phone (520) 452-0144

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: erick.haldorsonfnp.p1@direct.kaplanfamily.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1144338039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 E WILCOX DR STE C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352822",
            "telephone_number": "520-459-0000",
            "fax_number": "520-459-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E WILCOX DR STE C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352822",
            "telephone_number": "520-459-0000",
            "fax_number": "520-459-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDORSON",
        "first_name": "ERICK",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN082588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.