MR. TIMOTHY A ERICSON FNP
NPI 1376836981
Nurse Practitioner in Woodburn, OR

Q: What is Timothy Ericson's NPI number?

The NPI number for Timothy Ericson is 1376836981. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Q: What is Timothy Ericson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Ericson was last updated on December 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment

1475 MT HOOD AVE., WOODBURN, OR 97071(503) 982-2174(503) 982-4599 Get Directions Write a Review

NPPES record last updated: December 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2017, Mar 3, 2017 (2 updates tracked since 2017).

On this page

About Mr. Timothy A Ericson Fnp NPPES

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

MR. TIMOTHY A ERICSON FNP (NPI 1376836981) is an individual nurse practitioner in Woodburn, Oregon, licensed in Oregon (201394165NP-PP) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Legacy Silverton Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376836981

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. TIMOTHY A ERICSONCredential: FNP

Location Address1475 MT HOOD AVE.Woodburn, OR 97071

Mailing AddressPo Box 278Woodburn, OR 97071-0278 · (971) 983-5260 · Fax (971) 983-5326

Phone(503) 982-2174

Fax(503) 982-4599

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 16, 2011

Last NPPES UpdateDecember 2, 20172 updates tracked since enumeration

✔ NPI 1376836981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 201394165NP-PP✔ Licensed in CA · NP 20561

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1475 MT HOOD AVE., Woodburn, OR 97071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

Mr. Timothy A Ericson 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 ID4082844253

PECOS Enrollment IDI20140310000189

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.

Hospital Affiliations CMS Care Compare

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

Legacy Silverton Medical Center

Acute Care Hospitals · Silverton, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380029

Location342 Fairview StreetSilverton, OR 97381 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97071 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers18 claims31 services$5.45 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

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

SILVERTON HEALTH

Clinic/Center (Urgent Care)

1475 MT HOOD AVE.
WOODBURN, OR 97071

Marion County (971) 983-5360

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 Timothy Ericson's NPI number?

The NPI number for Timothy Ericson is 1376836981. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Timothy Ericson located?

Timothy Ericson practices at 1475 Mt Hood Ave., Woodburn, OR 97071. The listed phone number is (503) 982-2174.

What is Timothy Ericson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Timothy Ericson enrolled in Medicare?

Yes. Timothy Ericson 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.

What insurance does Timothy Ericson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Timothy Ericson 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 Timothy Ericson affiliated with any hospitals?

According to CMS data, Timothy Ericson is affiliated with Legacy Silverton Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Ericson was last updated on December 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.