Timothy A Ericson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201394165NP-PP Issued in OR

Practice address

1475 Mt Hood Ave.
Woodburn, OR 97071

Phone

(503) 982-2174

Fax

(503) 982-4599

NPI assigned

May 16, 2011

Last updated

Dec 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tericson101645@direct.lhs.org

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.

• Silverton Health

  dba Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
  • NPI 1669424354
  Medicare reassignment Care Compare group NPD
• Silverton Health

  • Rural Health Clinic/Center
  • Mount Angel, OR
  • NPI 1528171543
  NPD
• Silverton Health

  dba Legacy Woodburn Health Center

  • Rural Health Clinic/Center
  • Woodburn, OR
  • NPI 1679686463
  NPD
• Silverton Health

  dba Legacy Molalla Family Medicine

  • Clinic/Center
  • Molalla, OR
  • NPI 1861116055
  NPD
• Silverton Hospital

  dba McClaine Street Clinic

  • Primary Care Clinic/Center
  • Silverton, OR
  • NPI 1578660031
  NPD
• Silverton Health

  • Clinic/Center
  • Silverton, OR
  • NPI 1871214304
  NPD (past)

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

• Silverton Health

  dba Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
  • NPI 1669424354
  Care Compare affiliation

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1376836981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710278",
            "telephone_number": "971-983-5260",
            "fax_number": "971-983-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MT HOOD AVE.",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "503-982-2174",
            "fax_number": "503-982-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 20561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201394165NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Eason, MS, CCC-SLP
• Sandra Echavarria
• Patricia Eddy, PT
• Christine Edick
• Roger Jay Epstein, M.D.
• Mayra Escalona Baez, OHA REGISTER
• Brieanne Esqueda
• Karla E Estrada-Garcia
• Evergreen Estates Nursing & Rehabilitation Center LLC
• Tanner Joseph Farley, DPT

• Nurse Practitioner in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.