NPIMap

Individual provider Active NPI

Amanda Noelle Erskine, MD

  • Family Medicine Physician
  • Somerset, KY
National Provider Identifier
1356874747
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66809 Issued in TN
Practice address
303 Langdon St
Somerset, KY 42503-2750
Phone
(606) 451-5092
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101277091 VA
Student in an Organized Health Care Education/Training Program 390200000X TN
Family Medicine Physician 207Q00000X 66809 TN Primary

Addresses

Primary practice location

303 Langdon St
Somerset, KY 42503-2750

Mailing address

303 Langdon St
Somerset, KY 42503-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230203002315 TN Practitioner - Family PracticePractitioner - Emergency Medicine 8921470758 Reassigns benefits to 2 organizations
I20230227000634 VA Practitioner - Family PracticePractitioner - Emergency Medicine 8921470758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingleside Emergency Group LLCGroup PAC ID 1355698317, 29 clinicians
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians

Practice addresses (Care Compare)

1 Arh LN
Low Moor, VA 24457-5702
Phone (540) 862-6011

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
86.33

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Dec 25, 2022 Accepting new patients
Ingleside Emergency Group, LLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

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 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1356874747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-451-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSKINE",
        "first_name": "AMANDA",
        "middle_name": "NOELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101277091",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "66809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.