Amy H Erickson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Johnson City, TN
NPI 1528060423 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1528060423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN0000139555 (TN)
- Practice address
- 1114 Sunset Dr
Suite 4
Johnson City, TN 37604-2969 - Phone
- (423) 283-0776
- Fax
- (423) 283-0549
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Highlands Anesthesia PC
Practice addresses (Care Compare)
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Hospital & facility affiliations
- Johnston Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120913000789 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7113114554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10975 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
| RN0000139555 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Consultants PC | Past | Accepting new patients | |
| Anesthesia and Pain Consultants,P.C. | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Coastal Anesthesia & Pain Relief Specialists | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000139555 | TN | Yes |
Addresses
Primary practice location
1114 Sunset Dr
Suite 4
Johnson City, TN 37604-2969
Mailing address
PO Box 3727
Johnson City, TN 37602-3727
Phone (423) 283-0776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3632916 | Medicaid | TN |
Other providers in Johnson City, TN
- Elizabeth Paige English
- Enhanced Support Services
- Leah G Ennis
- Envision Inc
- Luke Stephan Erdoes
- Dwight D Ernst
- Cara Estep
- Cari Hope Estep
- Ernest Anthony Estep
- Johnny Lee Estep
All providers in Johnson City, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.