Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAXWELL MICHAEL EIDAM
NPI 1457257321
Nurse Practitioner in Erie, PA

Q: What is Maxwell Eidam's NPI number?

The NPI number for Maxwell Eidam is 1457257321. It was assigned to this individual provider in the NPPES registry on October 17, 2026.

Q: What is Maxwell Eidam'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 Maxwell Eidam was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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 October 17, 2026

3081 MOREHOUSE RD, ERIE, PA 16509(330) 840-0786 Get Directions Write a Review

NPPES record added: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Maxwell Michael Eidam NPPES

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

MAXWELL MICHAEL EIDAM (NPI 1457257321) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP037415) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1457257321

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMAXWELL MICHAEL EIDAM

Location Address3081 MOREHOUSE RDErie, PA 16509-5931

Mailing Address3081 Morehouse RdErie, PA 16509-5931

Phone(330) 840-0786

Sole ProprietorNo

Enumeration DateOctober 17, 2026

NPPES CertifiedOctober 8, 2026

✔ NPI 1457257321 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 PA · SP037415

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.

3081 MOREHOUSE RD, Erie, PA 16509

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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 Maxwell Eidam's NPI number?

The NPI number for Maxwell Eidam is 1457257321. It was assigned to this individual provider in the NPPES registry on October 17, 2026.

Where is Maxwell Eidam located?

Maxwell Eidam practices at 3081 Morehouse Rd, Erie, PA 16509. The listed phone number is (330) 840-0786.

What is Maxwell Eidam's specialty?

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

When was this NPI record last updated?

The NPPES record for Maxwell Eidam was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.