Jennifer Marie Erickson, PA-C
Physician Assistant in Enumclaw, WA. Individual provider (NPI-1).
NPI number1194045682
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1194045682
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Marie Erickson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2010
- Certification date
- Feb 17, 2022
- Last updated
- Feb 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60157486 | WA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA60157486 | WA |
Practice location
3021 Griffin AveEnumclaw, WA 98022-2369
Phone 360-825-6511 · Fax 360-825-6536
Mailing address
26458 Maple Valley Black Diamond Rd SeMaple Valley, WA 98038-8350
Phone 425-690-3460
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Enumclaw, WA
- Nataliya Bilan, PA-CNPI 1558870022
- Emily C Cunningham-Carter, PA-CNPI 1508460023
- Anthony Carroll Jordan, PA-SNPI 1336548064
- Edwin C Lopez, PA-CNPI 1649363706
- Susan M Sanborn, PA-CNPI 1790790137
- Whitney Kristina Vayntrub, PA-CNPI 1639625288
- Kelcey WebsterNPI 1457185233
All 8 Physician Assistant providers in Enumclaw · All 466 providers in Enumclaw
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.