Individual provider Active NPI

William E Erickson, ANP

  • Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1205928652
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61092109 Issued in WA
Practice address
7105 NE 40TH St
Vancouver, WA 98661-3058
Phone
(360) 933-3189
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61092109 WA Primary

Addresses

Primary practice location

7105 NE 40TH St
Vancouver, WA 98661-3058

Mailing address

7105 NE 40TH St
Vancouver, WA 98661-3058
Phone (360) 933-3189

Other practice location 1

888 S Hillhurst Rd
Ridgefield, WA 98642-9063
Phone (360) 857-0007

Other identifiers 2

IdentifierTypeStateIssuer
NP47963MedicaidAK
153297OtherAKGRP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200924000304 TX Practitioner - Nurse Practitioner 2062488968 Reassigns benefits to 2 organizations
I20250312002203 WA Practitioner - Nurse Practitioner 2062488968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians
Cowlitz Indian TribeGroup PAC ID 8820030133, 26 clinicians

Practice addresses (Care Compare)

222 NE Park Plaza Dr
Suite 100
Vancouver, WA 98684-5895
Phone (360) 254-8025

7105 NE 40TH St
Vancouver, WA 98661-3058
Phone (360) 993-3189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Pathway CurrentSince Nov 1, 2025 Accepting new patients
New Life Health Authority CurrentSince Nov 30, 2025 Accepting new patients
Praxis Health, PC Family CurrentSince Jan 27, 2025 Accepting new patients
Praxis Health, PC CurrentSince Jan 27, 2025 Accepting new patients

Locations

1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310

6650 Gunpark Dr
Ste 100
Boulder, CO 80301

222 NE Park Plaza Dr
Ste 100
Vancouver, WA 98684
Phone (360) 254-8025

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1205928652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 NE 40TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613058",
            "telephone_number": "360-933-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 NE 40TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613058",
            "telephone_number": "360-933-3189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 S Hillhurst Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "986429063",
            "country_code": "US",
            "telephone_number": "360-857-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61092109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP47963",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP #",
            "identifier": "153297",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.