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MARY ERICKSON ENP, FNP
NPI 1417632852
Nurse Practitioner in Redmond, OR

Active since June 21, 2023PECOS Enrolled
1253 NW CANAL BLVD, REDMOND, OR 97756(541) 213-8195 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Jan 2, 2024, Jun 21, 2023 (3 updates tracked since 2023).

About Mary Erickson Enp, Fnp NPPES

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

MARY ERICKSON ENP, FNP (NPI 1417632852) is an individual nurse practitioner in Redmond, Oregon, licensed in Oregon (E06230009) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2023).

NPPES Registry Identity

NPI1417632852
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ERICKSONCredential: ENP, FNP
Location Address1253 NW CANAL BLVDRedmond, OR 97756-1334
Mailing Address1253 Nw Canal BlvdRedmond, OR 97756-1334 · (541) 213-8195
Phone(541) 213-8195
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2023
Enumeration DateJune 21, 2023
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1417632852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · E06230009
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.
1253 NW CANAL BLVD, Redmond, OR 97756
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Erickson Enp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719338722
PECOS Enrollment IDI20240103004001
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 97756 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.

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.

GLYNDA GAYE CRABTREE MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
DR. CLAYTON STANFORD GARTHE M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANDREW STOKES KLEAVELAND MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MINDY LIPSITZ M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANGUS YATMAN NG MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
JAKE METOLIUS WAITS D.O.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MATTHEW M ESCHELBACH DO
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
CASCADE PROFESSIONAL BUSINESS SERVICE
Internal Medicine (Critical Care Medicine)
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 526-6556

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 Mary Erickson's NPI number?

The NPI number for Mary Erickson is 1417632852. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Mary Erickson located?

Mary Erickson practices at 1253 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 213-8195.

What is Mary Erickson's specialty?

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

Is Mary Erickson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Erickson was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.