NPIMap

Individual provider Active NPI

Katrina J Erickson, M.D.

  • Family Medicine Physician
  • Rockport, IN
National Provider Identifier
1851321632
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01088398A Issued in IN
Practice address
3434 W State Road 66
Rockport, IN 47635-9259
Phone
(812) 649-5061
Fax
(812) 649-5224
NPI assigned
Jul 4, 2006
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41068 MT
Family Medicine Physician 207Q00000X MD00047114 WA
Family Medicine Physician 207Q00000X 01088398A IN Primary

Addresses

Primary practice location

3434 W State Road 66
Rockport, IN 47635-9259

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201231001394 KY Practitioner - Family Practice 2365454642 Reassigns benefits to 1 organization
I20220826001563 IN Practitioner - Family Practice 2365454642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

3434 W State Rd
Suite 66
Rockport, IN 47635-9259
Phone (812) 649-5061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41068MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Dec 7, 2020 Accepting new patients
Owensboro Health Medical Group, Inc. Family Medicine CurrentSince Dec 7, 2020 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Clinic Inc. Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

3434 W State Road 66
Rockport, IN 47635
Phone (812) 627-7007

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

811 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1228

Interoperability endpoints

  • Direct secure messaging: kerickson107128@direct.owensborohealth.org
  • Direct secure messaging: kerickson232906@direct.deaconess.com

Organizations & group practices 8

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 8

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1851321632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W STATE ROAD 66",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359259",
            "telephone_number": "812-649-5061",
            "fax_number": "812-649-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KATRINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "41068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047114",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01088398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

Verify at the official NPI Registry.