Active NPI
Erik Matthews Wickstrum, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6797
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2781 - Phone
- (719) 584-4000
- NPI assigned
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0001896-C-CRNA | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 6797 | NC | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2781
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-3245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0001896-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Pueblo Pathology Group, PC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Ballantyne Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients |
Locations
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
13 Medical Campus Dr NW
#101
Supply, NC 28462
Phone (910) 721-4300
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Organizations & group practices 29
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.
-
dba Professional Services of Presbyterian Matthews
- Specialist
- Matthews, NC
- NPI 1184782419
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
dba Novant Health Brunswick Medical Center CRNAS
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Medical Park Professional Fee
- Specialist
- Winston Salem, NC
- NPI 1003867516
-
dba Novant Nurse Anesthesia Professional Services
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
dba Professional Fees
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Huntersville Medical Center
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1467083881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-713-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032781",
"telephone_number": "719-584-4000"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-3245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICKSTRUM",
"first_name": "ERIK",
"middle_name": "MATTHEWS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0001896-C-CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.