Individual provider Active NPI

Erica Jane Pelinski, P.A. - C

  • Physician Assistant
  • Fort Leonard Wood, MO
National Provider Identifier
1821371014
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2021042544 Issued in MO
Practice address
4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0035
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2021042544 MO Primary

Addresses

Primary practice location

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Other identifiers 3

IdentifierTypeStateIssuer
1618PAMedicaidSC
1821371014MedicaidNC
22012848MedicaidMO

Other names 1

  • Erica Jane Paszkowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211029001030 MO Practitioner - Physician Assistant 0941477798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3051

Hospital & facility affiliations

  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2021042544MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Medical Management, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 25, 2021 Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2025 Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities Physician Assistant CurrentSince Oct 25, 2021 Accepting new patients
New Hanover Regional Medical Center Past Accepting new patients

Locations

331 Hospital Dr
Ste A
Lebanon, MO 65536
Phone (417) 532-8856

755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805

128 E Commercial St
Lebanon, MO 65536
Phone (573) 302-3990

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

Interoperability endpoints

  • Direct secure messaging: ericapelinski@mhccaremail.com

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 2

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1821371014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 ILLINOIS AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 ILLINOIS AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELINSKI",
        "first_name": "ERICA",
        "middle_name": "JANE",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021042544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1618PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821371014",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22012848",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "PASZKOWSKI",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Leonard Wood, MO

Sources for this page

Verify at the official NPI Registry.