Individual provider Active NPI

Erica Starr Wilson, FNP-BC

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1841803616
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202011044NP Issued in OR
Practice address
2400 Hartman LN
Springfield, OR 97477-1118
Phone
(541) 334-3350
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A160511 IA
Family Nurse Practitioner 363LF0000X 202011044NP OR Primary

Addresses

Primary practice location

2400 Hartman LN
Springfield, OR 97477-1118

Mailing address

2400 Hartman LN
Springfield, OR 97477-1118
Phone (541) 334-3350

Other practice location 1

126 N 10th St
Fort Dodge, IA 50501-3915
Phone (515) 576-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ouireferral@nwspecialtyclinics.direct-ci.net Direct Oregon Urology Institute PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210122002002 OR Practitioner - Nurse Practitioner 5193142255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Medical Homes, LLCGroup PAC ID 0042100372, 31 clinicians

Practice addresses (Care Compare)

2280 Marcola Rd
Springfield, OR 97477-2594
Phone (541) 747-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202011044NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Homes, LLC CurrentSince Feb 27, 2023 Accepting new patients
Northwest Medical Homes, LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

2280 Marcola Rd
Springfield, OR 97477
Phone (541) 747-4300

1800 Centennial Blvd
Springfield, OR 97477
Phone (541) 747-4300

Interoperability endpoints

  • Direct secure messaging: efielder@yourcarecommunity.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1841803616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505013915",
            "country_code": "US",
            "telephone_number": "515-576-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICA",
        "middle_name": "STARR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202011044NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ouireferral@nwspecialtyclinics.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Oregon Urology Institute PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 Hartman Ln",
            "city": "Springfield",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974771118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.