Julie Erickson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Berlin, NH
NPI 1972807436 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1972807436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 606093-23 (NH)
- Practice address
- 59 Page Hill Rd
Berlin, NH 03570 - Phone
- (603) 752-2200
- Fax
- (603) 326-5831
- NPI assigned
- Dec 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 Association
Practice addresses (Care Compare)
600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000
Hospital & facility affiliations
- Littleton Regional Healthcare
- Androscoggin Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606093-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current |
Accepting new patients | |
| Littleton Hospital Association | Current |
Accepting new patients | |
| Weeks Medical Center | Current | Accepting new patients | |
| Upper Connecticut Valley Hospital Association | Current | Accepting new patients | |
| Littleton 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
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385
28 Main St
Plymouth, NH 03264
Phone (603) 275-1907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-126831 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 606093-23 | NH | Yes |
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
- Julie Clark
Other providers in Berlin, NH
- Raina C Eaton
- Rhonda A Edwards
- Norine Elliott
- Chelsea R Endres
- Beatrice Claudia Engstrand
- Alexis Nicole Essig
- Mark Peter Evans
- Lynn Walter Farnham
- Philip R Faucher
- Amanda R Favreau
All providers in Berlin, NH · Certified Registered Nurse Anesthetist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.