Individual provider Active NPI

Joshua J Erickson

  • Family Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1629563010
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275360 Issued in MI
Practice address
718 N Macomb St
Monroe, MI 48162-7815
Phone
(734) 625-3265
NPI assigned
Jun 27, 2018
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704275360 MI Primary

Addresses

Primary practice location

718 N Macomb St
Monroe, MI 48162-7815

Mailing address

8759 W Park Ridge Cir
Newport, MI 48166-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20180924003649 MI Practitioner - Nurse Practitioner 3072864453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians

Practice addresses (Care Compare)

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704275360MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Northwest Ohio Inc. CurrentSince Aug 20, 2019 Accepting new patients
Washtenaw Urgent Care Current Accepting new patients
Ihp Mi Emergency Medicine PLLC CurrentSince Mar 1, 2024 Accepting new patients
Nextcare Michigan Providers PLLC CurrentSince Dec 23, 2020 Accepting new patients
Internal Medicine Solutions PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

100 Powell Dr
Ste 8
Dundee, MI 48131
Phone (734) 823-5900

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

35700 Warren Rd
Westland, MI 48185
Phone (248) 245-6129

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1629563010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 W PARK RIDGE CIR",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481669289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-625-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.