1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Nurse Practitioner
  6. NPI Profile

KRISTEN C ERICKSON NP
NPI 1477959724
Nurse Practitioner - Family in Champaign, IL

Active since November 14, 2014PECOS Enrolled
819 BLOOMINGTON ROAD, CHAMPAIGN, IL 61820(217) 356-1558(217) 356-8529 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristen C Erickson Np NPPES

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

KRISTEN C ERICKSON NP (NPI 1477959724) is an individual family provider in Champaign, Illinois, licensed in Illinois (209-011627) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477959724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN C ERICKSONCredential: NP
Location Address819 BLOOMINGTON ROADChampaign, IL 61820
Mailing Address819 Bloomington RoadChampaign, IL 61820 · (217) 356-1558 · Fax (217) 356-8529
Phone(217) 356-1558
Fax(217) 356-8529
Sole ProprietorNo
Enumeration DateNovember 14, 2014
✔ NPI 1477959724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209-011627
819 BLOOMINGTON ROAD, Champaign, IL 61820
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristen C Samuels

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen C Erickson Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Kristen Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promise Healthcare Nfp
Same address
Federally Qualified Health Center (FQHC)
819 BLOOMINGTON RD
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
NPI 1578821005 (217) 356-1558

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 61820 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

PROMISE HEALTHCARE NFP
Dentist (General Practice)
819 BLOOMINGTON ROAD
CHAMPAIGN, IL 61820
Champaign County (217) 359-7404

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 Kristen Erickson's NPI number?

The NPI number for Kristen Erickson is 1477959724. It was assigned to this individual provider in the NPPES registry on November 14, 2014. The provider is also known as Kristen C Samuels.

Where is Kristen Erickson located?

Kristen Erickson practices at 819 Bloomington Road, Champaign, IL 61820. The listed phone number is (217) 356-1558.

What is Kristen Erickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Erickson enrolled in Medicare?

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

Which organization bills Medicare for Kristen Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Erickson reassigns Medicare benefits to Promise Healthcare Nfp (Champaign, IL). 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 Kristen Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Erickson was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.