KELLEY ANNETTE ERICKSON CRNP
NPI 1477095784
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Kelley Annette Erickson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY ANNETTE ERICKSON CRNP (NPI 1477095784) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016825) and active in the NPI registry since November 2016. 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)
Kelley Annette Erickson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 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 19104 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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kelley Erickson's NPI number?
The NPI number for Kelley Erickson is 1477095784. It was assigned to this individual provider in the NPPES registry on November 17, 2016.
Where is Kelley Erickson located?
Kelley Erickson practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (701) 400-4836.
What is Kelley Erickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelley Erickson enrolled in Medicare?
Yes. Kelley Erickson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Erickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Erickson reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). 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 Kelley Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Erickson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelley 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 Kelley Erickson was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelley Annette Erickson, CRNP · NPI 1477095784
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 17, 2016.
## Identity
- **NPI:** 1477095784 (Entity type: Individual)
- **Enumerated:** November 17, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP016825 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (701) 400-4836
## 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:** Seattle Children's Hospital (NPI 1003319500, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1477095784) · Data from the CMS NPPES public registry.