EVELYN J ERICKSON MD
NPI 1568480366
Surgery - Plastic and Reconstructive Surgery in St Cloud, MN
NPI Status: Active since July 18, 2006
Contact Information
3701 12TH ST N
SUITE 100
ST CLOUD, MN
ZIP 56303
Phone: (320) 253-7257
Fax: (320) 251-2938
- Individual
- Female
- Surgery
- Plastic and Reconstructive Surgery
- Accepts Insurance
- PECOS Enrolled
About EVELYN ERICKSON
This page provides the complete NPI Profile along with additional information for Evelyn Erickson, a provider established in St Cloud, Minnesota with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1568480366 assigned on July 2006. The practitioner's primary taxonomy code is 2086S0122X with license number 37346 (MN). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1568480366
- Provider Name
- EVELYN J ERICKSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3701 12TH ST N SUITE 100 ST CLOUD, MN 56303
- Location Phone
- (320) 253-7257
- Location Fax
- (320) 251-2938
- Mailing Address
- 3701 12TH ST N SUITE 100 ST CLOUD, MN 56303
- Mailing Phone
- (320) 253-7257
- Mailing Fax
- (320) 251-2938
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 11-29-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 37346
- License State
- MN
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1301024 | OTHER (01) | MEDICA | |
| F89790 | MEDICARE UPIN (02) | ||
| 111011 | OTHER (01) | UCARE | |
| 6T195ER | OTHER (01) | BCBS | |
| 249000019 | OTHER (01) | METRAHEALTH (MPIN) | |
| 1006655 | OTHER (01) | P-ONE | |
| 145719500 | OTHER (01) | NEW MA PROVIDER | |
| 145719500 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Evelyn Erickson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mastectomy
New patient office or other outpatient visit, 60-74 minutes
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 19 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 22 times for 22 patientsThis service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
This service was performed 35 times for 16 patientsReviews for EVELYN J ERICKSON MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568480366, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST CLOUD, MN 56303
SAINT CLOUD, MN 56303
ST CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568480366, enumerated as an "individual" on July 18, 2006.
The provider is located at 3701 12TH ST N SUITE 100 ST CLOUD, MN 56303 and the phone number is (320) 253-7257.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Medica, Medica Health Insurance, Medicare,. Please consult your insurance carrier or call the provider to verify.