Erica M Fabiano
Individual provider Active NPI Nurse Practitioner · Astoria, OR
NPI 1144730680 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1144730680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 10010964 (OR)
- Practice address
- 2265 Exchange St
Astoria, OR 97103-3331 - Phone
- (503) 338-4075
- Fax
- (503) 338-4076
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Lutheran Charities
Practice addresses (Care Compare)
2265 Exchange St
Astoria, OR 97103-3331
Phone (503) 338-7595
Hospital & facility affiliations
- Columbia Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 62.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231215001916 | OR | Practitioner - Nurse Practitioner | 6406122365 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10010964 | OR | MD | Nurse Practitioner |
| A111917 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Current |
Accepting new patients | |
| Columbia Lutheran Charities | Current |
Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2265 Exchange St
Fl Third
Astoria, OR 97103
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
2055 Exchange St
Ste 270
Astoria, OR 97103
Phone (503) 325-7546
2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075
Interoperability endpoints
- epasterski17494@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A111917 | IA | |
| Nurse Practitioner | 363L00000X | 10010964 | OR | Yes |
| Nurse Practitioner | 363L00000X | A111917 | IA |
Addresses
Primary practice location
2265 Exchange St
Astoria, OR 97103-3331
Mailing address
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.