Kathryn Ann Heins-Erickson, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

53-77025-122 Issued in KS

Practice address

409 Lincoln Ave
Erickson Medical Clinic LLC
Clay Center, KS 67432-2907

Phone

(785) 777-2622

Fax

(785) 777-2623

NPI assigned

Feb 25, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erickson Medical Clinic LLCGroup PAC ID 1456648740, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clay County Medical Center Hospital, Clay Center, KS, CCN 171371

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kathryn.heins-erickson@31895190175748.direct.elationemr.com

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.

• Erickson Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Clay Center, KS
  • NPI 1689029464
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clay County Medical Center

  • Critical Access Hospital
  • Clay Center, KS
  • NPI 1265485817
  Care Compare affiliation

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1861852469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 LANE STREET",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322211",
            "telephone_number": "785-632-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LINCOLN AVE",
            "address_2": "ERICKSON MEDICAL CLINIC LLC",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322907",
            "telephone_number": "785-777-2622",
            "fax_number": "785-777-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINS-ERICKSON",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-77025-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Keith Gydesen, APRN
• Randall R Hafner, D.C.
• Sue Ann Hamon, PHARMD
• Kelly Harness, DMD
• Crystal Lynn Hathorne, APRN, PMHNP-BC
• Hiesterman Family Eye Care, LLC
• Ryan Lee Hiesterman, O.D.
• Haley Jordan Hogan
• Stephanie Hope, OTR/L
• Alya M Houghton, APRN

• Adult Health Nurse Practitioner in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.