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KELLY MASTERSON ERICKSON MD
NPI 1336888940
Pediatrics in Oklahoma City, OK

Active since June 01, 2022PECOS Enrolled
1200 CHILDRENS AVE # 14000, OKLAHOMA CITY, OK 73104(405) 271-4417 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Masterson Erickson Md NPPES

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

KELLY MASTERSON ERICKSON MD (NPI 1336888940) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (39532) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336888940
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY MASTERSON ERICKSONCredential: MD
Location Address1200 CHILDRENS AVE # 14000Oklahoma City, OK 73104-4637
Mailing Address1200 Childrens Ave # 14000Oklahoma City, OK 73104-4637 · (405) 271-4417
Phone(405) 271-4417
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 1, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1336888940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 39532
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 CHILDRENS AVE # 14000, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Masterson Erickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072001288
PECOS Enrollment IDI20251021001185
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 19

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

ELIZABETH CLARE KUTTEH MD
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
SHALINI MARIE THERESE ABEYEWARDENE
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
SHANNON KEAVENEY MD
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
TANNER BOWEN CALL DO
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
KARIM TAREK SAID ISMAIL ABOELSOUD MD
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
MRS. KESSA NICOLE LOVELADY MD
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
MOLLY NICOLE KHOURY MD
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
ELIZABETH MONTALVO
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417

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 Kelly Erickson's NPI number?

The NPI number for Kelly Erickson is 1336888940. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Kelly Erickson located?

Kelly Erickson practices at 1200 Childrens Ave # 14000, Oklahoma City, OK 73104. The listed phone number is (405) 271-4417.

What is Kelly Erickson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Erickson enrolled in Medicare?

Yes. Kelly Erickson is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Erickson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kelly Erickson 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.

When was this NPI record last updated?

The NPPES record for Kelly Erickson was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.