Individual provider Active NPI

Marylou Erb, CRNP

  • Adult Health Nurse Practitioner
  • Troy, MI
National Provider Identifier
1861603649
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
VP004319W Issued in PA
Practice address
4967 Crooks Rd
Suite 130
Troy, MI 48098-5801
Phone
(248) 952-1601
Fax
(248) 795-2019
NPI assigned
May 24, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X VP004319W PA Primary

Addresses

Primary practice location

4967 Crooks Rd
Suite 130
Troy, MI 48098-5801

Mailing address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (248) 952-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090501000216 PA Practitioner - Nurse Practitioner 3072661008 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VP004319WPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Trilogy Wellness, LLC CurrentSince Feb 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

200 Village Dr
Ste C
Greensburg, PA 15601
Phone (724) 834-2525

201 Alwine Ave
Greensburg, PA 15601
Phone (412) 969-3816

443 Frye Farm Rd
Uppr
Greensburg, PA 15601
Phone (724) 765-1230

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

300 Hansen Plz
Lyndora, PA 16045
Phone (724) 256-9424

2526 Monroeville Blvd
Ste 102
Monroeville, PA 15146
Phone (412) 702-9458

8775 Norwin Ave
North Huntingdon, PA 15642
Phone (724) 527-8031

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1861603649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "SUITE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-795-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERB",
        "first_name": "MARYLOU",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP004319W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.