ERIN A. KICKHAM MS, RN, CPNP
NPI 1043737968
Nurse Practitioner - Pediatrics in Boston, MA

Active since August 23, 2017PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Mar 29, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Erin A. Kickham Ms, Rn, Cpnp NPPES

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

ERIN A. KICKHAM MS, RN, CPNP (NPI 1043737968) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN2310531) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043737968
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameERIN A. KICKHAMCredential: MS, RN, CPNP
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Enumeration DateAugust 23, 2017
Last NPPES UpdateNovember 18, 20214 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1043737968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MA · RN2310531
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2310531 (MA)
300 LONGWOOD AVE, Boston, MA 02115

Secondary Practice Locations 2

Location 164 Melrose AveNeedham, MA 02492-3510 · Phone (161) 784-0600 · Fax (617) 840-6003
Location 255 Route 130Forestdale, MA 02644-1402 · Phone (508) 477-5306

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Erin A. Kickham Ms, Rn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Erin Kickham's NPI number?

The NPI number for Erin Kickham is 1043737968. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Erin Kickham located?

Erin Kickham practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Erin Kickham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Erin Kickham enrolled in Medicare?

Yes. Erin Kickham is registered in the Medicare PECOS enrollment system.

What insurance does Erin Kickham accept?

Health plans from Anthem Blue Cross and Blue Shield list Erin Kickham 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.

When was this NPI record last updated?

The NPPES record for Erin Kickham was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.