Kimberly Jo Erickson, CNM, WHNP-BC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

148946-32 Issued in WI

Practice address

1313 Fish Hatchery Rd
Madison, WI 53715-1911

Phone

(608) 252-8000

Fax

(608) 283-7354

NPI assigned

May 18, 2016

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Jo Bertram Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melius, Schurr and CardwellGroup PAC ID 2062479280, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melius, Schurr & Cardwell

  • Obstetrics & Gynecology Physician
  • Fitchburg, WI
  • NPI 1437132776
  Medicare reassignment Care Compare group NPD
• Healthy Women LLC

  dba Phases, Primary Healthcare for Women

  • Internal Medicine Physician
  • Fitchburg, WI
  • NPI 1104169226
  NPD

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1235586496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 CENTRAL PARK PL",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537119317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 FISH HATCHERY RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151911",
            "telephone_number": "608-252-8000",
            "fax_number": "608-283-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "148946-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERTRAM",
            "middle_name": "JO",
            "credential": "CNM, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chloe Erickson
• David F. Erickson, PTA
• David W Erickson, NP
• Emily L Erickson, BSW MA
• Katelyn Erickson, NP
• Lauren Nicole Erickson, PT, DPT, CSCS
• Lee A Erickson, PC
• Matthew George Erickson, MD
• Nissa I Erickson, MD
• Rachel Erickson

• Advanced Practice Midwife in Madison, WI
• Providers in Madison, WI by specialty
• Advanced Practice Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.

Verify at the official NPI Registry.