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

ERIKA CARSON
NPI 1295411197
Nurse Practitioner - Family in Oneida, TN

Active since June 26, 2023PECOS Enrolled
189 ANDREW DRIVE, ONEIDA, TN 37841(423) 569-3762 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Jul 17, 2024 (2 updates tracked since 2024).

About Erika Carson NPPES

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

ERIKA CARSON (NPI 1295411197) is an individual family provider in Oneida, Tennessee, licensed in Tennessee (34151) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Big South Fork Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295411197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA CARSON
Location Address189 ANDREW DRIVEOneida, TN 37841
Mailing Address189 Andrew StOneida, TN 37841-6296 · (423) 319-6829
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 26, 2023
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1295411197 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 TN · 34151
189 ANDREW DRIVE, Oneida, TN 37841

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

Erika Carson 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 ID5799221164
PECOS Enrollment IDI20240722001756
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 Erika Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
189 ANDREW ST
Oneida, TN 37841
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 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.

Big South Fork Medical Center

Critical Access Hospitals · Oneida, TN
OwnershipProprietary
CMS Certification Number441323
Location18797 Alberta StreetOneida, TN 37841 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37841 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Erika Carson's NPI number?

The NPI number for Erika Carson is 1295411197. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Erika Carson located?

Erika Carson practices at 189 Andrew Drive, Oneida, TN 37841. The listed phone number is (423) 569-3762.

What is Erika Carson's specialty?

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

Is Erika Carson enrolled in Medicare?

Yes. Erika Carson 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 Erika Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Carson reassigns Medicare benefits to Elderberry Health PLLC (Oneida, TN). 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 Erika Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika Carson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Erika Carson 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 Erika Carson affiliated with any hospitals?

According to CMS data, Erika Carson is affiliated with Big South Fork Medical Center.

When was this NPI record last updated?

The NPPES record for Erika Carson was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.