Erica Ezell

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.024540 Issued in OH

Practice address

1775 River Rd
Aberdeen, OH 45101-9372

Phone

(614) 266-5517

NPI assigned

Apr 15, 2019

Last updated

Jun 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrison Memorial HospitalGroup PAC ID 8628961018, 21 clinicians

Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harrison Memorial Hospital

  • Clinic/Center
  • Cynthiana, KY
  • NPI 1386783868
  Medicare reassignment Care Compare group NPD
• Harrison Memorial Hospital Inc

  dba HMH Physician Group

  • Multi-Specialty Clinic/Center
  • Cynthiana, KY
  • NPI 1669615233

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Harrison Memorial Hospital

  dba HMH Primary Care

  • Rural Health Clinic/Center
  • Cynthiana, KY
  • NPI 1588237150
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1568025765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "ABERDEEN",
            "state": "OH",
            "postal_code": "451019372",
            "telephone_number": "614-266-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "ABERDEEN",
            "state": "OH",
            "postal_code": "451019372",
            "telephone_number": "614-266-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024540",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.024540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aberdeen Medical
• Sierra Berry
• Kendra Dawn Bowling, STNA
• Miranda Kay Dearth
• Bonnie Elaine Elliott, STNA
• Molly Fetters
• Catherine Elizabeth Frye, STNA
• Sheila Faith Frye
• Phyllis Fryman
• Kelly Marie Hines, RN

• Nurse Practitioner in Aberdeen, OH
• Providers in Aberdeen, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.

Verify at the official NPI Registry.