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DR. JENNIFER N ERICKSON DO
NPI 1609832914
Family Medicine in Orchard Park, NY

Active since April 25, 2006PECOS EnrolledCLIA 33D0983555 · Waiver
3671 SOUTHWESTERN BLVD ST 213, ORCHARD PARK, NY 14127(716) 662-7008(716) 662-5226 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer N Erickson Do NPPES

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

DR. JENNIFER N ERICKSON DO (NPI 1609832914) is an individual family medicine provider in Orchard Park, New York, licensed in New York (172415) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 25, 2027, and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1609832914
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFER N ERICKSONCredential: DO
Location Address3671 SOUTHWESTERN BLVD ST 213Orchard Park, NY 14127
Mailing Address3671 Southwestern Blvd St 213Orchard Park, NY 14127 · (716) 662-7008 · Fax (716) 662-5226
Phone(716) 662-7008
Fax(716) 662-5226
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 11, 2011
✔ NPI 1609832914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 172415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3671 SOUTHWESTERN BLVD ST 213, Orchard Park, NY 14127
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedAA0792Group
Medicare UPINE42077
Medicare ID-Type UnspecifiedCC4903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer N Erickson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941243687
PECOS Enrollment IDI20100826000023
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 Reassignments

2

Medicare enrollment records show Jennifer Erickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert Erickson Do And Jennifer Erickson Do LLC
0.1 mi
Family Medicine
3671 SOUTHWESTERN BLVD ST 213
Orchard Park, NY 14127
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1992866990 (716) 667-2673
Mid Erie Mental Health Services Inc
8.8 mi
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1225095201 (716) 895-7167

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0983555

Jennifer Erickson Do & Robert Erickson Do · Orchard Park, NY
Active · expires Feb 25, 2027
CLIA Number33D0983555
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorDr. Robert J. Erickson
Laboratory Phone(716) 662-7008
Laboratory LocationJennifer Erickson Do & Robert Erickson Do3671 S Western Blvd Suite 101, 213 And 209, Orchard Park, NY 14127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers39 claims39 services$190.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. ROBERT J ERICKSON DO
Family Medicine
3671 SOUTHWESTERN BLVD ST 213
ORCHARD PARK, NY 14127
Erie County (716) 662-7008
MS. SHANNON P CINO RD, CDE, CDN
Dietitian, Registered
3671 SOUTHWESTERN BLVD ST 213
ORCHARD PARK, NY 14127
Erie County (716) 662-7008
ROBERT ERICKSON DO AND JENNIFER ERICKSON DO LLC
Family Medicine
3671 SOUTHWESTERN BLVD ST 213
ORCHARD PARK, NY 14127
Erie County (716) 667-2673

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 Jennifer Erickson's NPI number?

The NPI number for Jennifer Erickson is 1609832914. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Jennifer Erickson located?

Jennifer Erickson practices at 3671 Southwestern Blvd St 213, Orchard Park, NY 14127. The listed phone number is (716) 662-7008.

What is Jennifer Erickson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Erickson enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Erickson reassigns Medicare benefits to 2 organizations: Robert Erickson Do And Jennifer Erickson Do LLC (Orchard Park, NY) and Mid Erie Mental Health Services Inc (Cheektowaga, NY). Each 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 Jennifer Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jennifer Erickson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0983555) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jennifer Erickson was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.