Individual provider Active NPI

Erica Joan Kreller, M.D.

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1679867469
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
58367 Issued in AZ
Practice address
3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone
(480) 355-8525
Fax
(480) 355-3115
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A124132 CA
Obstetrics & Gynecology Physician 207V00000X 58367 AZ Primary

Addresses

Primary practice location

3499 S Mercy Rd
Gilbert, AZ 85297-0437

Mailing address

3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone (480) 355-8525

Other practice location 1

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 750-2880

Other practice location 2

6901 Mercy Rd
Omaha, NE 68106-2621
Phone (402) 390-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190731002368 AZ Practitioner - Obstetrics/Gynecology 7416283254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morning Star Obstetrics and Gynecology PCGroup PAC ID 0648207043, 4 clinicians

Practice addresses (Care Compare)

3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone (480) 355-8525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124132CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morning Star Obstetrics & Gynecology PC Obstetrics & Gynecology CurrentSince Jul 2, 2019 Accepting new patients
Dignity Health Past Accepting new patients

Locations

3499 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 355-8525

Organizations & group practices 2

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1679867469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525",
            "fax_number": "402-390-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525",
            "fax_number": "480-355-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "619-750-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062621",
            "country_code": "US",
            "telephone_number": "402-390-6600",
            "fax_number": "402-390-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRELLER",
        "first_name": "ERICA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A124132",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "58367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.