NPIMap

Individual provider Active NPI

Erin Ann Bostick

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1255704342
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9109309 Issued in FL
Practice address
3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883
Phone
(239) 261-2663
Fax
(239) 626-5633
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109309 FL
Surgical Physician Assistant 363AS0400X PA9109309 FL Primary

Addresses

Primary practice location

3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883

Mailing address

3466 Pine Ridge Rd
Ste a
Naples, FL 34109-3883
Phone (239) 261-2663

Other identifiers 3

IdentifierTypeStateIssuer
061834800MedicaidFL
C697FOtherFLBCBS
IM891ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001431 FL Practitioner - Physician Assistant 1759688856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Replacement Institute LLCGroup PAC ID 2062572720, 16 clinicians

Practice addresses (Care Compare)

3466 Pine Ridge Rd
Suite a
Naples, FL 34109-3883
Phone (239) 261-2663

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
54.45
Promoting interoperability
100
Improvement activities
40
Cost
76.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109309FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Replacement Institute LLC Current Accepting new patients
Akron General Medical Center Past Accepting new patients
Velocity Health Solutions LLC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1255704342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD",
            "address_2": "STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-262-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-626-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109309",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061834800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C697F",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IM891Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.