NPIMap

Individual provider Active NPI

Erika Crockford, D.O.

  • Family Medicine Physician
  • Eagle River, WI
National Provider Identifier
1962935304
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69655 Issued in WI
Practice address
930 E Wall St
Eagle River, WI 54521-9368
Phone
(715) 477-3000
NPI assigned
Apr 4, 2017
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69655 WI Primary

Addresses

Primary practice location

930 E Wall St
Eagle River, WI 54521-9368

Mailing address

930 E Wall St
Eagle River, WI 54521-9368
Phone (715) 477-3000

Other practice location 1

191 Theater Rd
Onalaska, WI 54650-8679
Phone (608) 392-5000

Other practice location 2

815 10th St S
LA Crosse, WI 54601-4764
Phone (608) 785-0940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001000540 WI Practitioner - Family Practice 1355699869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Hospital Rd
Eagle River, WI 54521-8835
Phone (715) 479-7411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69655WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 4, 2020 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 4, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

930 E Wall St
Eagle River, WI 54521
Phone (715) 477-3000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: ecrockford169624@direct.aspirus.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Merrill HospitalMerrill, WI, CCN 521339 Hospital Corporate Director Sep 30, 2024
Aspirus Merrill HospitalMerrill, WI, CCN 52Z339 Hospital Corporate Director Sep 30, 2024
Aspirus Plover HospitalStevens Point, WI, CCN 52003001 Hospital Corporate Director Sep 30, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1962935304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219368",
            "telephone_number": "715-477-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219368",
            "telephone_number": "715-477-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Theater Rd",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546508679",
            "country_code": "US",
            "telephone_number": "608-392-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 10th St S",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546014764",
            "country_code": "US",
            "telephone_number": "608-785-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKFORD",
        "first_name": "ERIKA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, WI

Sources for this page

Verify at the official NPI Registry.