Active NPI
Jennifer Erickson-Foster, M.D.
- Surgery Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 53884-20
- Practice address
- 720 S Vanburen St
Suite 201
Green Bay, WI 54301-3534 - Phone
- (920) 433-7488
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 53884-20 | WI | Primary |
Addresses
Primary practice location
720 S Vanburen St
Suite 201
Green Bay, WI 54301-3534
Mailing address
720 S Vanburen St
Suite 201
Green Bay, WI 54301-3534
Phone (920) 433-7488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01241795 | Other | WI | RAILROAD MEDICARE |
Other names 1
- Dr. Jennifer Lynn Erickson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Wisconsin School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 S Vanburen St
Suite 201
Green Bay, WI 54301-3534
Phone (920) 433-7488
Hospital & facility affiliations
- Bellin Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53884-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients | |
| Bellin Memorial Hospital Inc | Surgery | Past | Accepting new patients |
Locations
933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
720 S Van Buren St
Ste 201
Green Bay, WI 54301
Phone 9204307100200
1580 Commanche Ave
Green Bay, WI 54313
Phone (920) 431-5687
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
Interoperability endpoints
- jfoster916709@direct.emplifyhealth.org
- jericksonfoster32886@direct.thedacare.org
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Family Medicine Physician
- Denmark, WI
- NPI 1881656619
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Oconto, WI
- NPI 1609018589
-
- Surgery Physician
- Green Bay, WI
- NPI 1104263532
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1952568016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S VANBUREN ST",
"address_2": "SUITE 201",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013534",
"telephone_number": "920-433-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S VANBUREN ST",
"address_2": "SUITE 201",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013534",
"telephone_number": "920-433-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON-FOSTER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "53884-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01241795",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ERICKSON",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.