Jill Susan Erickson, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11022663 Issued in FL

Practice address

2700 Broadway
West Palm Beach, FL 33407-5433

Phone

(772) 486-5067

NPI assigned

Nov 9, 2022

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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.

• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Inpatient Care Specialists LLC

  • Hospitalist Physician
  • Lake Mary, FL
  • NPI 1679817134
  Medicare reassignment NPD
• Inpatient Specialists Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1073008579
  Medicare reassignment NPD
• Inpatient Specialists Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1952108763
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1508574419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WETTAW LN APT 111",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085685",
            "telephone_number": "772-486-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075433",
            "telephone_number": "772-486-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8841 Lyndall Ln",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334031639",
            "country_code": "US",
            "telephone_number": "561-631-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JILL",
        "middle_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11022663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verdat A. Erbug, M.D.
• Tomas Alberto Ercia Arenal
• Eric Fishman M.D., P.a.
• Eric Malz Apn
• Eric Malz Pmhnp-BC
• Marcus David Charles Erickson, OD
• Sheri Layne Erickson, ARNP
• Erika Cohane, LCSW
• Ernand Behavioral Services Corp
• Leslie Ertl

• Gerontology Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.