LISA M ERICKSEN PA-C
NPI 1366530354
Physician Assistant - Medical in Livonia, MI

Q: What is Lisa Ericksen's NPI number?

The NPI number for Lisa Ericksen is 1366530354. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Lisa Ericksen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Ericksen was last updated on March 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2006

29200 SCHOOLCRAFT RD, LIVONIA, MI 48150(734) 523-2420(734) 523-2464 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa M Ericksen Pa-c NPPES

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

LISA M ERICKSEN PA-C (NPI 1366530354) is an individual medical provider in Livonia, Michigan, licensed in Michigan (5601001522) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366530354

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA M ERICKSENCredential: PA-C

Location Address29200 SCHOOLCRAFT RDLivonia, MI 48150-2228

Mailing Address318 Waverley AveRoyal Oak, MI 48067-1339 · (124) 822-9149

Phone(734) 523-2420

Fax(734) 523-2464

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateMarch 19, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1366530354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601001522

29200 SCHOOLCRAFT RD, Livonia, MI 48150

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Areas of Expertise CMS Part B claims 2

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.

54 services43 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

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