Individual provider Active NPI

Julie Erickson, CRNA

  • Certified Registered Nurse Anesthetist
  • Berlin, NH
National Provider Identifier
1972807436
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
606093-23 Issued in NH
Practice address
59 Page Hill Rd
Berlin, NH 03570
Phone
(603) 752-2200
Fax
(603) 326-5831
NPI assigned
Dec 27, 2010
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D-126831 IA
Certified Registered Nurse Anesthetist 367500000X 606093-23 NH Primary

Addresses

Primary practice location

59 Page Hill Rd
Berlin, NH 03570

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3542
Phone (603) 752-2200

Other practice location 1

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

Other names 1

  • Julie Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170324000813 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274712203 Reassigns benefits to 1 organization
I20180926000172 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274712203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D-126831IAMDCertified Registered Nurse Anesthetist
606093-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association Current Accepting new patients
Littleton Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Littleton Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Weeks Medical Center Current Accepting new patients
Upper Connecticut Valley Hospital Association Current Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1972807436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703542",
            "telephone_number": "603-752-2200",
            "fax_number": "603-326-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "03570",
            "telephone_number": "603-752-2200",
            "fax_number": "603-326-5831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "03570",
            "country_code": "US",
            "telephone_number": "603-752-2200",
            "fax_number": "603-326-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JULIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-126831",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "606093-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CLARK",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.

Verify at the official NPI Registry.