Individual provider Active NPI

Erin A Jerlin, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1720079080
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300919 Issued in VA
Practice address
808 Battlefield Blvd S
Chesapeake, VA 23322-6611
Phone
(757) 389-7367
Fax
(757) 389-7371
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300919 VA Primary

Addresses

Primary practice location

808 Battlefield Blvd S
Chesapeake, VA 23322-6611

Mailing address

808 Battlefield Blvd S
Chesapeake, VA 23322-6611
Phone (757) 389-7367

Other practice location 1

733 Volvo Pkwy
Suite 300
Chesapeake, VA 23320-1609
Phone (757) 321-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001184 VA Practitioner - Podiatry 8426019902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

808 Battlefield Blvd S
Chesapeake, VA 23322-6611
Phone (757) 389-7367

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue111
Removal of skin lesions1-10
Removal of nail tissue2027
Removal or shaving of skin growth553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103300919VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerlin Podiatry LLC Foot & Ankle Surgery CurrentSince Oct 15, 2018 Accepting new patients
Tidewater Foot & Ankle Center, PC Foot & Ankle Surgery Past Accepting new patients
Louis N Carideo MD Inc PastSince Oct 29, 2018 Accepting new patients
Podiatry LTD PastSince Jul 1, 1992 Accepting new patients
Seva Foot and Ankle Center Foot & Ankle Surgery PastSince Jun 23, 2018 Accepting new patients
Vann-Virginia Center for Orthopaedics PC PastSince May 1, 2009 Accepting new patients
Diabetic Foot Center of Tidewater Foot & Ankle Surgery Past Accepting new patients

Locations

808 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 389-7367

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jerlinpodiatry.erinjerlin@140288.advancedmd-direct.com
  • Direct secure messaging: erinjerlindpm@aos.allscriptsdirect.net

Organizations & group practices 7

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 5

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1720079080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BATTLEFIELD BLVD S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226611",
            "telephone_number": "757-389-7367",
            "fax_number": "757-389-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BATTLEFIELD BLVD S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226611",
            "telephone_number": "757-389-7367",
            "fax_number": "757-389-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Volvo Pkwy",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201609",
            "country_code": "US",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERLIN",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.