NPIMap

Individual provider Active NPI

Erica Myers, FNP

  • Family Nurse Practitioner
  • Electra, TX
National Provider Identifier
1710617873
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088060 Issued in TX
Practice address
1207 S Bailey St
Electra, TX 76360-3221
Phone
(940) 495-3981
Fax
(940) 495-3171
NPI assigned
Jun 13, 2022
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1088060 TX
Family Nurse Practitioner 363LF0000X 1088060 TX Primary
Registered Nurse 163W00000X 728647 TX

Addresses

Primary practice location

1207 S Bailey St
Electra, TX 76360-3221

Mailing address

1207 S Bailey St
Electra, TX 76360-3221
Phone (940) 495-3981

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002915 TX Practitioner - Nurse Practitioner 2062632409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Electra Hospital DistrictGroup PAC ID 6507769494, shared by 11 NPIs, 8 clinicians

Practice addresses (Care Compare)

1207 S Bailey St
Electra, TX 76360-3221
Phone (940) 495-3981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
728647TXMDRegistered Nurse
1088060TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Electra Hospital District CurrentSince Oct 7, 2022 Accepting new patients
Electra Hospital District Family Current Accepting new patients
Electra Hospital District CurrentSince Oct 7, 2022 Accepting new patients
Electra Hospital District Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Electra Hospital District Past Accepting new patients

Locations

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1710617873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-3981",
            "fax_number": "940-495-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-3981",
            "fax_number": "940-495-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1088060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088060",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "728647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Electra, TX

Sources for this page

Verify at the official NPI Registry.