Active NPI
Alexandria Erickson, PA-C
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1578074241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110732
- Practice address
- 3050 Champion Ring Rd
Fort Myers, FL 33905-5599 - Phone
- (239) 313-2901
- NPI assigned
- Oct 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PA9110732 | FL | |
| Physician Assistant | 363A00000X | PA9110732 | FL | Primary |
Addresses
Primary practice location
3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Mailing address
4820 Griffin Blvd
Fort Myers, FL 33908-2016
Phone (239) 313-2901
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110732 | FL | MD | Physician Assistant |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1578968749
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
- General Practice Physician
- Cape Coral, FL
- NPI 1962396424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1578074241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 GRIFFIN BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339082016",
"telephone_number": "239-313-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 CHAMPION RING RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339055599",
"telephone_number": "239-313-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "ALEXANDRIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "PA9110732",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.