Individual provider Active NPI

Erin Elise Layne

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1588296453
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13796 Issued in MN
Practice address
885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800
Phone
(757) 461-1033
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007098 VA
Physician Assistant 363A00000X 13796 MN Primary

Addresses

Primary practice location

885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800

Mailing address

885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800
Phone (757) 461-1033

Other practice location 1

900 Long Lake Rd Ste 150
New Brighton, MN 55112-6414
Phone (612) 213-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601000731 VA Practitioner - Physician Assistant 3274954227 Reassigns benefits to 2 organizations
I20210928001022 MN Practitioner - Physician Assistant 3274954227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

10705 Town Square Dr NE
Suite 210
Blaine, MN 55449-8187
Phone (763) 231-8700

7373 France Ave S
Suite 110
Edina, MN 55435-4538
Phone (763) 231-8700

779 Bielenberg Dr
Suite 108
Woodbury, MN 55125-4432
Phone (763) 231-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13796MNMDClinical Social Worker
0110007098VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC CurrentSince Jun 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2020 Accepting new patients
On Site Dermatology LLC CurrentSince Feb 18, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 1, 2020 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

885 Kempsville Rd
Ste 309
Norfolk, VA 23502
Phone (757) 347-2712

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1588296453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 309",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 309",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Long Lake Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551126414",
            "country_code": "US",
            "telephone_number": "612-213-2370",
            "fax_number": "612-524-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "ERIN",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007098",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.