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SAMANTHA ERICKSON
NPI 1104368950
Nurse Practitioner - Primary Care in Hasbrouck Heights, NJ

Active since November 10, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
212 COLUMBUS AVE, HASBROUCK HEIGHTS, NJ 07604(201) 394-0431 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Erickson NPPES

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

SAMANTHA ERICKSON (NPI 1104368950) is an individual primary care provider in Hasbrouck Heights, New Jersey, licensed in New Jersey (26NJ00681600) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104368950
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSAMANTHA ERICKSON
Location Address212 COLUMBUS AVEHasbrouck Heights, NJ 07604-1622
Mailing Address212 Columbus AveHasbrouck Heights, NJ 07604-1622
Phone(201) 394-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 10, 2016
✔ NPI 1104368950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ00681600
212 COLUMBUS AVE, Hasbrouck Heights, NJ 07604
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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

Samantha Erickson 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 ID840576336
PECOS Enrollment IDI20170418001143
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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
545 services181 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
221 services101 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
204 services115 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
80 services72 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
80 services62 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
47 services45 patients

Hospital Affiliations CMS Care Compare

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

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07604 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Samantha Erickson's NPI number?

The NPI number for Samantha Erickson is 1104368950. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Samantha Erickson located?

Samantha Erickson practices at 212 Columbus Ave, Hasbrouck Heights, NJ 07604. The listed phone number is (201) 394-0431.

What is Samantha Erickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Samantha Erickson enrolled in Medicare?

Yes. Samantha Erickson 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.

Is Samantha Erickson affiliated with any hospitals?

According to CMS data, Samantha Erickson is affiliated with Palisades Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Erickson was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.