Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ERICA ORTEGA
NPI 1053286773
Nurse Practitioner - Family in Saint John, IN

Active since October 10, 2025PECOS EnrolledAccepts Medicare Assignment
8261 WICKER AVE, SAINT JOHN, IN 46373(219) 902-0646 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Aug 4, 2026, Jul 14, 2026 and 1 more (4 updates tracked since 2025).

About Erica Ortega NPPES

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

ERICA ORTEGA (NPI 1053286773) is an individual family provider in Saint John, Indiana, licensed in Indiana (71018214A) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053286773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA ORTEGA
Location Address8261 WICKER AVESaint John, IN 46373-8878
Mailing Address8261 Wicker AveSaint John, IN 46373-8878 · (219) 902-0646
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 10, 2025
Last NPPES UpdateSeptember 18, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1053286773 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 IN · 71018214A
8261 WICKER AVE, Saint John, IN 46373

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Ortega 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 ID648742684
PECOS Enrollment IDI20260610004086
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.

Medicare Billing Reassignment

Medicare enrollment records show Erica Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46373 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

Physical Therapist
8261 WICKER AVE
SAINT JOHN, IN 46373
Nurse Practitioner (Family)
8261 WICKER AVE
SAINT JOHN, IN 46373
Physical Therapist
8261 WICKER AVE
SAINT JOHN, IN 46373

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 Ortega's NPI number?

The NPI number for Erica Ortega is 1053286773. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Where is Erica Ortega located?

Erica Ortega practices at 8261 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 902-0646.

What is Erica Ortega's specialty?

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

Is Erica Ortega enrolled in Medicare?

Yes. Erica Ortega 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.

Which organization bills Medicare for Erica Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Ortega reassigns Medicare benefits to Community Care Network Inc (St John, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Ortega accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Erica Ortega 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 Ortega affiliated with any hospitals?

According to CMS data, Erica Ortega is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Erica Ortega was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.