SHELLY MARIE ERICKSON FNP
NPI 1124543244
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Shelly Erickson's NPI number?

The NPI number for Shelly Erickson is 1124543244. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Q: What is Shelly Erickson'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 Shelly Erickson was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 August 09, 2017PECOS EnrolledAccepts Medicare Assignment

81.49/100

CMS Quality Rating

5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 515-6296 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Aug 9, 2017 (2 updates tracked since 2017).

On this page

About Shelly Marie Erickson Fnp NPPES

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

SHELLY MARIE ERICKSON FNP (NPI 1124543244) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP10486) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124543244

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHELLY MARIE ERICKSONCredential: FNP

Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502

Mailing Address19755 E Willow DrQueen Creek, AZ 85142-9430 · (480) 209-4631

Phone(480) 515-6296

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 9, 2017

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1124543244 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 AZ · AP10486

5777 E MAYO BLVD, Phoenix, AZ 85054

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Secondary Practice Location 1

Location 12946 E Banner Gateway DrGilbert, AZ 85234-2165 · Phone (480) 256-6444

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

Shelly Marie Erickson Fnp 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 ID2264706399

PECOS Enrollment IDI20170927003918

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

137 services114 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

119 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

118 services106 patients

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.

95 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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.

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.

81.49/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

38.3

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers26 claims2,264 services$0.69 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers22 claims22 services$18.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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