MARY ERICKSON ENP, FNP
NPI 1417632852
Nurse Practitioner in Redmond, OR
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.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Erickson Enp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fossil, OR 97830
- Reassigned Medicare billing, Oregon enrollment
- 16 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.
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.
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.
REDMOND, OR 97756
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.
Which organization bills Medicare for Mary Erickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Erickson reassigns Medicare benefits to Asher Community Health Center (Fossil, OR). 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 Mary Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Erickson accept?
Health plans from Moda Health Plan, Inc. list Mary 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 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.
# Mary Erickson, ENP, FNP · NPI 1417632852
Nurse Practitioner physician in Redmond, Oregon. Individual provider, active in the CMS NPPES registry since June 21, 2023.
## Identity
- **NPI:** 1417632852 (Entity type: Individual)
- **Enumerated:** June 21, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** E06230009 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1253 NW CANAL BLVD, Redmond, OR 97756-1334
- **Phone:** (541) 213-8195
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Asher Community Health Center (NPI 1033989439, Fossil, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417632852) · Data from the CMS NPPES public registry.