Active NPI
Jacob Neil Erickson, M.D.
- Emergency Medicine Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD442283
- Practice address
- 1000 E Mountain Dr
Wilkes Barre, PA 18711-0027 - Phone
- (570) 808-7762
- Fax
- (570) 808-6128
- NPI assigned
- Oct 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R70194 | AZ | |
| Emergency Medicine Physician | 207P00000X | MD442283 | PA | Primary |
Addresses
Primary practice location
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jerickson496172@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (272) 639-4990
Hospital & facility affiliations
- Geisinger St. Luke'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R70194 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture LLC | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Emergency Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients |
Locations
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
100 N Academy Ave
Danville, PA 17822
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000
200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- jerickson496172@direct.geisinger.edu
Organizations & group practices 15
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.
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- Specialist
- Orwigsburg, PA
- NPI 1366006702
-
- Family Medicine Physician
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- NPI 1366493868
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- Family Medicine Physician
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- NPI 1144876137
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1588603567
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
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- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
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- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Emergency Medicine
-
- Surgery Physician
- Allentown, PA
- NPI 1477600450
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orwigsburg, PA
- NPI 1265096069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1194059543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MOUNTAIN DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110027",
"telephone_number": "570-808-7762",
"fax_number": "570-808-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JACOB",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-01",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R70194",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD442283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jerickson496172@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 E Mountain Dr",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187110027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.