Christie Ehle Erickson IX

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R126067-4 Issued in MN

Practice address

4855 W Arrowhead Rd
Hermantown, MN 55811-3936

Phone

(218) 786-3540

Fax

(218) 722-8160

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polinsky Medical Rehabilitation Center 369 clinicians

The Duluth Clinic LTD 1,135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Duluth Hospital, Duluth, MN, CCN 240019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638

  MN

  Medicare reassignment Care Compare group NPD
• The Duluth Clinic, LTD.

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  Care Compare group NPD
• Polinsky Medical Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Duluth, MN
  • NPI 1639237746
  Care Compare group
• The Duluth Clinic LTD

  • Community/Retail Pharmacy
  • Duluth, MN
  • NPI 1427164839
  Care Compare group
• The Duluth Clinic LTD

  • Community/Retail Pharmacy
  • Grand Rapids, MN
  • NPI 1831690346
  Care Compare group
• The Duluth Clinic, LTD

  • Community/Retail Pharmacy
  • Duluth, MN
  • NPI 1003114539
  Care Compare group
• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209
  Care Compare group
• The Duluth Clinic, LTD

  • Community/Retail Pharmacy
  • International Falls, MN
  • NPI 1245346659
  Care Compare group
• The Duluth Clinic, LTD

  • Community/Retail Pharmacy
  • Hermantown, MN
  • NPI 1336255744
  Care Compare group
• The Duluth Clinic, LTD

  • Community/Retail Pharmacy
  • Silver Bay, MN
  • NPI 1437457330
  Care Compare group
• The Duluth Clinic, LTD

  • Community/Retail Pharmacy
  • Hibbing, MN
  • NPI 1447366851
  Care Compare group
• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Virginia, MN
  • NPI 1457387441
  Care Compare group

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1477585172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W ARROWHEAD RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113936",
            "telephone_number": "218-786-3540",
            "fax_number": "218-722-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W ARROWHEAD RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113936",
            "telephone_number": "218-786-3540",
            "fax_number": "218-722-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CHRISTIE",
        "middle_name": "EHLE",
        "name_suffix": "IX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R126067-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387571700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Suzanne Edison, DO
• Jaden Ellefson
• Lucas Michael Elsner
• Cassie Endsley, DPT
• Dixie Engebretsen
• Abileen Ann Erwin
• Louis Frank Eschenbacher
• Eversmiles Pediatric Dentistry, PLLC
• Excel North Chiropractic P.a.
• Elizabeth Anne Fairchild

• All providers in Hermantown, MN
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.