Active NPI
Todd A. Erickson, CRNA
- Certified Registered Nurse Anesthetist
- Port Townsend, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30007642
- Practice address
- 834 Sheridan St
Port Townsend, WA 98368-2443 - Phone
- (360) 385-2200
- Fax
- (360) 379-2250
- NPI assigned
- Jan 22, 2007
- Last updated
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30007642 | WA | Primary |
Addresses
Primary practice location
834 Sheridan St
Port Townsend, WA 98368-2443
Mailing address
8023 NE Hidden Cove Rd
Bainbridge Island, WA 98110-1198
Phone (206) 769-2077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9651969 | Medicaid | WA | |
| 24081U | Other | WA | REGENCE PIN |
| 0217755 | Other | WA | L&I PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W Sims Way
Suite C
Port Townsend, WA 98368-3031
Phone (360) 385-6297
1800 NW Myhre Rd
Michael Medical Ctr
Silverdale, WA 98383-7663
Phone (360) 744-6770
2200 NW Myhre Rd
Charles L Salmon MD Medical Center
Silverdale, WA 98383-7681
Phone (360) 830-1101
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007642 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Providence Wa Anesthesia Services, P.C. | Current | Accepting new patients | |
| Harborview Medical Center | Past | Accepting new patients | |
| Point Wilson Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
Organizations & group practices 6
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.
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Anesthesiology Physician
- Bremerton, WA
- NPI 1275586125
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
-
- Certified Registered Nurse Anesthetist
- Port Townsend, WA
- NPI 1629027552
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba Jefferson Healthcare Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Sleep Medicine, Jefferson Healthcare
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1952455503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8023 NE HIDDEN COVE RD",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101198",
"telephone_number": "206-769-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682443",
"telephone_number": "360-385-2200",
"fax_number": "360-379-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "TODD",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30007642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9651969",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE PIN",
"identifier": "24081U",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PIN",
"identifier": "0217755",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.