Individual provider Active NPI

Erica Ann Austin, DO

  • Clinical Neurophysiology Physician
  • Traverse City, MI
National Provider Identifier
1477715076
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
5101017645 Issued in MI
Practice address
3922 Cedar Run Rd
Traverse City, MI 49684-9687
Phone
(231) 392-0430
Fax
(231) 935-3438
NPI assigned
Jun 26, 2008
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101017645 MI
Clinical Neurophysiology Physician 2084N0600X 5101017645 MI Primary

Addresses

Primary practice location

3922 Cedar Run Rd
Traverse City, MI 49684-9687

Mailing address

3922 Cedar Run Rd
Traverse City, MI 49684-9687
Phone (231) 392-0430

Other practice location 1

804 Service Road
Room A217
East Lansing, MI 48824-7040
Phone (517) 353-8122

Other identifiers 1

IdentifierTypeStateIssuer
1477715076MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.austin@meg.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000467 MI Practitioner - Neurology 2668638719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Suite 211
Traverse City, MI 49684-2345
Phone (231) 935-7227

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince May 21, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2014 Accepting new patients
Munson Medical Center Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 5, 2014 Accepting new patients
Munson Medical Center Neurology CurrentSince Sep 1, 2016 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Northern Michigan Neurology, P.L.C. Neurology CurrentSince Aug 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Neurology CurrentSince May 5, 2014 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2014 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Munson Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince May 21, 2018 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

8175 Reliable Pkwy
Chicago, IL 60686

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

110 S Madison St
Traverse City, MI 49684
Phone (231) 935-0340

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1105 Sixth St
Ste 211
Traverse City, MI 49684
Phone (231) 392-8400

1221 Sixth St
Ste 211
Traverse City, MI 49684
Phone (231) 392-0640

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3922 Cedar Run Rd
Traverse City, MI 49684
Phone (231) 392-0430

Interoperability endpoints

  • Direct secure messaging: eaustin@direct.mhc.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1477715076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-392-0430",
            "fax_number": "231-935-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-392-0430",
            "fax_number": "231-935-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Service Road",
            "address_2": "Room A217",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488247040",
            "country_code": "US",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101017645",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "5101017645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477715076",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.austin@meg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1221 Sixth St Ste 211",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.