Erica Lynn Clinker, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Galion, OH
NPI 1154849313 · NPPES record last updated Dec 28, 2020
Key facts
- NPI
- 1154849313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.020703 (OH)
- Practice address
- 269 Portland Way S
Galion, OH 44833-2312 - Phone
- (567) 204-9459
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818
PO Box
Cincinnati, OH 45263
PO Box
Detroit, MI 48277
PO Box
Carol Stream, IL 60197
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20171212001128 | OH | Practitioner - Nurse Practitioner | 7416215892 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.020703 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Northern Ohio Medical Specialists LLC | Current |
Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current |
Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
130 Hill St
Bucyrus, OH 44820
Phone (419) 462-4547
112 Independence Way
Ste 170
Clyde, OH 43410
Phone (419) 547-2810
112 Independence Way
Ste 110
Clyde, OH 43410
Phone (419) 483-9000
123 E Crawford St
Findlay, OH 45840
269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
410 Fair Ln
Tiffin, OH 44883
Phone (419) 443-0071
7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200
Interoperability endpoints
- eclinker560765@direct.osumc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.020703 | OH | Yes |
Addresses
Primary practice location
269 Portland Way S
Galion, OH 44833-2312
Mailing address
700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 468-0522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247237 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eclinker560765@direct.osumc.edu |
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2020. 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.