ERICA LEE ERTEL
NPI 1013381037
Nurse Practitioner - Family in Kettering, OH

Q: What is Erica Ertel's NPI number?

The NPI number for Erica Ertel is 1013381037. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Q: What is Erica Ertel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Ertel was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429(855) 500-2873(937) 281-3992 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Feb 10, 2016, Jan 27, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Erica Lee Ertel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA LEE ERTEL (NPI 1013381037) is an individual family provider in Kettering, Ohio, licensed in Ohio (COA. 18374-NP) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Wright State University Boonshoft School Of Medicine (2015).

NPPES Registry Identity

NPI1013381037

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameERICA LEE ERTEL

Location Address3700 SOUTHERN BLVD STE 201Kettering, OH 45429-1265

Mailing Address3700 Southern Blvd Ste 201Kettering, OH 45429-1265 · (855) 500-2873 · Fax (937) 281-3992

Phone(855) 500-2873

Fax(937) 281-3992

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015

Enumeration DateNovember 16, 2015

Last NPPES UpdateJanuary 12, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2021

✔ NPI 1013381037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA. 18374-NP

3700 SOUTHERN BLVD STE 201, Kettering, OH 45429

Open in Google Maps ↗

Other Identifiers 1

Medicaid0155179OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Lee Ertel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032412929

PECOS Enrollment IDI20160127001312

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL STEPHEN GUY M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

JING LI HUANG

Surgery (Surgical Oncology)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

JACQUELINE L ROETHLISBERGER NP

Nurse Practitioner (Adult Health)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

JULIET E WOLFORD M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

ROXANE WEIGHALL DO

Surgery (Surgical Oncology)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

MARRYANNE ALLEN APRN-CNP

Nurse Practitioner (Primary Care)

3700 SOUTHERN BLVD STE 201
DAYTON, OH 45429

Montgomery County (855) 500-2873

REBECCA MAE TUTTLE MD

Surgery (Surgical Oncology)

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

FATEMEH MIRZAMOHAMMADI MD,PHD

Plastic Surgery

3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429

Montgomery County (855) 500-2873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Ertel's NPI number?

The NPI number for Erica Ertel is 1013381037. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Erica Ertel located?

Erica Ertel practices at 3700 Southern Blvd Ste 201, Kettering, OH 45429. The listed phone number is (855) 500-2873.

What is Erica Ertel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Ertel enrolled in Medicare?

Yes. Erica Ertel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erica Ertel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Erica Ertel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erica Ertel affiliated with any hospitals?

According to CMS data, Erica Ertel is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Ertel was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.