JENNA ROSE ERICKSON M.D.
NPI 1073990149
Hospitalist in Phoenix, AZ

Q: What is Jenna Erickson's NPI number?

The NPI number for Jenna Erickson is 1073990149. It was assigned to this individual provider in the NPPES registry on April 28, 2015. The provider is also known as Jenna Rose Mollison.

Q: What is Jenna Erickson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Erickson was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 28, 2015PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0777(602) 933-0755 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2018, Sep 5, 2018 (2 updates tracked since 2018).

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About Jenna Rose Erickson M.d. NPPES

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

JENNA ROSE ERICKSON M.D. (NPI 1073990149) is an individual hospitalist provider in Phoenix, Arizona, licensed in Arizona (56104) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073990149

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameJENNA ROSE ERICKSONCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(602) 933-0777

Fax(602) 933-0755

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 28, 2015

Last NPPES UpdateSeptember 12, 20182 updates tracked since enumeration

✔ NPI 1073990149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 56104

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatricsTaxonomy 208000000X · License 56104 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Jenna Rose Mollison

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

Jenna Rose Erickson M.d. 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 ID4385996198

PECOS Enrollment IDI20181005001043

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 Reassignments

Medicare enrollment records show Jenna Erickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

District Medical Group, Inc

1.6 mi

Surgery

2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1174856280 (602) 344-1095

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. TIMUR RAGHIB M.D.

Hospitalist