Active NPI
Janna B. Erlien, PA-C
- Physician Assistant
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4668
- Practice address
- 2001 Crystal Spring Ave SW
Suite 201
Roanoke, VA 24014-2462 - Phone
- (540) 853-0100
- NPI assigned
- Sep 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61140376 | WA | |
| Medical Physician Assistant | 363AM0700X | 0110004368 | VA | |
| Surgical Physician Assistant | 363AS0400X | PA61140376 | WA | |
| Physician Assistant | 363A00000X | 4668 | WI | Primary |
Addresses
Primary practice location
2001 Crystal Spring Ave SW
Suite 201
Roanoke, VA 24014-2462
Mailing address
1018 Capitol Way S
Ste 300
Olympia, WA 98501-1212
Phone (360) 486-6508
Other practice location 1
1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3095
Other practice location 2
525 Lilly Rd NE Ste 200
Olympia, WA 98506-5101
Phone (360) 493-4510
Other practice location 3
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other practice location 4
2901 W Kinnickinnic River Pkwy Ste 507
Milwaukee, WI 53215-3660
Phone (414) 649-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558797522 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jerlien1646483@wm.providencedirect.org | Direct | |
| Direct Messaging Address | jerlien483115@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
62 W 7TH Ave
Spokane, WA 99204-2326
Phone (844) 552-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4668 | WI | MD | Dental Hygienist |
| 0110004368 | VA | MD | Medical Physician Assistant |
| PA61140376 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services-Wa | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients |
Locations
2979 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 756-6800
525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
62 W 7th Ave
Spokane, WA 99204
Phone (844) 552-2734
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- jerlien1646483@wm.providencedirect.org
- jerlien483115@direct-ehr-ssmhc.com
Organizations & group practices 8
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.
-
dba NW Heart & Lung Surgical Assoc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spokane, WA
- NPI 1538311287
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba PMG SW Wa
- Rural Health Clinic/Center
- Centralia, WA
- NPI 1225763949
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1558797522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 CAPITOL WAY S",
"address_2": "STE 300",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011212",
"telephone_number": "360-486-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"address_2": "SUITE 201",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142462",
"telephone_number": "540-853-0100"
}
],
"practiceLocations": [
{
"address_1": "1100 Goethals Dr Ste E",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523301",
"country_code": "US",
"telephone_number": "509-942-3095",
"fax_number": "509-942-3097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Lilly Rd NE Ste 200",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065101",
"country_code": "US",
"telephone_number": "360-493-4510",
"fax_number": "360-493-7759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-260-2961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 W Kinnickinnic River Pkwy Ste 507",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532153660",
"country_code": "US",
"telephone_number": "414-649-3480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERLIEN",
"first_name": "JANNA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-22",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61140376",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110004368",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61140376",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558797522",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jerlien1646483@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "525 Lilly Rd NE Ste 200",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jerlien483115@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jerlien483115@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.