Eryn Gorman, PA
Individual provider Active NPI Physician Assistant · Clinton, IN
NPI 1710430632 · NPPES record last updated Feb 20, 2026
Key facts
- NPI
- 1710430632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10002036A (IN)
- Practice address
- 777 S Main St Ste 100
Clinton, IN 47842-2493 - Phone
- (765) 828-1003
- Fax
- (765) 828-1030
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Professionals Community Health Center Inc
Practice addresses (Care Compare)
703 W Park St
Cayuga, IN 47928-8207
Phone (765) 492-9042
777 S Main St
Clinton, IN 47842-2493
Phone (765) 828-1003
Hospital & facility affiliations
- Union Hospital Clinton
- Union Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160809001769 | IN | Practitioner - Physician Assistant | 9032403399 | Reassigns benefits to 1 organization |
| I20230125000214 | IL | Practitioner - Physician Assistant | 9032403399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002036A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center Inc | Current |
Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002036A | IN | Yes |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
777 S Main St Ste 100
Clinton, IN 47842-2493
Mailing address
777 S Main St Ste 100
Clinton, IN 47842-2493
Phone (765) 828-1003
Other providers in Clinton, IN
- Field & Forest Medical, LLC
- Adrianne Francis
- Galen Inpatient Physicians PC
- Lindsay Maree Gibson
- Brittany Dyan Gooding
- Katie Ann Graham
- Veda Jo Gregory
- Sally Harris
- Danielle Harrison
- Hearing Care Center, Inc.
All providers in Clinton, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.