Individual provider Active NPI

Gina Marie Erickson, MD

  • Emergency Medicine Physician
  • Ames, IA
National Provider Identifier
1629204342
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2011-00831 Issued in NC
Practice address
1111 Duff Ave
McFarland Clinic PC
Ames, IA 50010-5745
Phone
(515) 239-2155
Fax
(515) 239-2155
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2011-00831 NC Primary

Addresses

Primary practice location

1111 Duff Ave
McFarland Clinic PC
Ames, IA 50010-5745

Mailing address

1111 Duff Avenue PO Box 3014
McFarland Clinic PC
Ames, IA 50010-3014
Phone (515) 239-2155

Other identifiers 1

IdentifierTypeStateIssuer
5919120MedicaidNC

Other names 1

  • Dr. Gina Marie Shook Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerickson67550@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000029 IA Practitioner - Emergency Medicine 4981878758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-4472

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

Hospital & facility affiliations

  • Mary Greeley Medical Center Hospital, Ames, IA, CCN 160030
  • Mary Greeley Medical Center Inpatient rehabilitation facility, Ames, IA, CCN 16T030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00831NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Aug 1, 2013 Accepting new patients
Mary Greeley Medical Center Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1629204342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVENUE PO BOX 3014",
            "address_2": "MCFARLAND CLINIC PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-2155",
            "fax_number": "515-239-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "address_2": "MCFARLAND CLINIC PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105745",
            "telephone_number": "515-239-2155",
            "fax_number": "515-239-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2011-00831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919120",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerickson67550@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Duff Ave",
            "address_2": "McFarland Clinic PC",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SHOOK",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.