DR. NICOLE LEE KECK-ERICKSON D.M.D.
NPI 1447408463
Dentist in Medford, OR

Q: What is Nicole Keck-erickson's NPI number?

The NPI number for Nicole Keck-erickson is 1447408463. It was assigned to this individual provider in the NPPES registry on September 3, 2008. The provider is also known as Mrs. Nicole Lee Keck-Erickson D.M.D..

Q: What is Nicole Keck-erickson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 03, 2008PECOS Enrolled

906 ROYAL CT, MEDFORD, OR 97504(541) 779-2634(541) 779-3282 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nicole Lee Keck-erickson D.m.d. NPPES

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

DR. NICOLE LEE KECK-ERICKSON D.M.D. (NPI 1447408463) is an individual dentist in Medford, Oregon, licensed in Oregon (D9139) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447408463

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. NICOLE LEE KECK-ERICKSONCredential: D.M.D.

Location Address906 ROYAL CTMedford, OR 97504-6139

Mailing Address906 Royal CtMedford, OR 97504-6139 · (541) 779-2634 · Fax (541) 779-3282

Phone(541) 779-2634

Fax(541) 779-3282

Sole ProprietorNo

Enumeration DateSeptember 3, 2008

✔ NPI 1447408463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D9139

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

906 ROYAL CT, Medford, OR 97504

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Other Names 1

Other Name (5)Mrs. Nicole Lee Keck-erickson D.m.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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)

Dr. Nicole Lee Keck-erickson D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97504 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

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

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 17

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

ROGUE COMMUNITY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))