Individual provider Active NPI

Erin M Risco, NP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1295172989
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-108035 Issued in AL
Practice address
580 Providence Park Dr E FL 2
Mobile, AL 36695
Phone
(251) 631-3570
Fax
(251) 631-3572
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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 1-108035 AL Primary

Addresses

Primary practice location

580 Providence Park Dr E FL 2
Mobile, AL 36695

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice location 1

8573 County Road 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Other practice location 2

2305 Hand Ave
Bay Minette, AL 36507-4191
Phone (251) 631-3570

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ER4121@forefrontdermatology.emadirect.md
Direct Messaging Address ER4121@forefrontdermatology.emadirect.md
Direct Messaging Address ER4121@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140227000574 AL Practitioner - Nurse Practitioner 1850521469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-108035ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 8, 2018 Accepting new patients
Immediate Care Foley LLC CurrentSince Dec 1, 2013 Accepting new patients
Immediate Care Center of the South, LLC CurrentSince Dec 1, 2013 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 8, 2018 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

2305 Hand Ave
Bay Minette, AL 36507
Phone (251) 435-1364

8573 County Road 64
Daphne, AL 36526
Phone (251) 621-2244

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: er4121@forefrontdermatology.emadirect.md
  • Direct secure messaging: erin.risco@gcd.eclinicaldirectplus.com

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1295172989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E FL 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8573 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268706",
            "country_code": "US",
            "telephone_number": "251-621-2244",
            "fax_number": "251-621-7209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Hand Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365074191",
            "country_code": "US",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISCO",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-108035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ER4121@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "580 Providence Park Dr E Fl 2",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ER4121@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8573 County Road 64",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ER4121@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 Hand Ave",
            "city": "Bay Minette",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365074191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.