Individual provider Active NPI

Craig Patrick Erickson, MD

  • Family Medicine Physician
  • Julesburg, CO
National Provider Identifier
1508213695
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0062726 Issued in CO
Practice address
900 Cedar St
Julesburg, CO 80737-1121
Phone
(970) 474-3323
Fax
(970) 474-2758
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0062726 CO Primary

Addresses

Primary practice location

900 Cedar St
Julesburg, CO 80737-1121

Mailing address

900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250102000897 NE Practitioner - Family Practice 5799063228 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062726COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association Current Accepting new patients
Community Hospital Association Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Community Hospital Association CurrentSince Jan 6, 2025 Accepting new patients

Locations

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1508213695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3323",
            "fax_number": "970-474-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3323",
            "fax_number": "970-474-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CRAIG",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0062726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Julesburg, CO

Sources for this page

Verify at the official NPI Registry.