ERICKSON MEDICAL CLINIC, LLC
NPI 1689029464
Clinic/Center - Primary Care in Clay Center, KS
About Erickson Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICKSON MEDICAL CLINIC, LLC (NPI 1689029464) is a healthcare organization registered as a primary care in Clay Center, Kansas and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Kent Edwin Erickson, President, Member, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Erickson Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Erickson Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Clay Center, KS 67432
Clay Center, KS 67432
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 2
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 17D2113080
Erickson Medical Clinic · Clay Center, KSCertificate of Waiver 17D2113082
Erickson Medical Clinic · Clay Center, KSFrequently 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 Erickson Medical Clinic, LLC's NPI number?
The NPI number for Erickson Medical Clinic, LLC is 1689029464. It was assigned to this organization in the NPPES registry on April 28, 2016.
Where is Erickson Medical Clinic, LLC located?
Erickson Medical Clinic, LLC is located at 409 Lincoln Ave, Clay Center, KS 67432. The listed phone number is (785) 632-6415.
What is Erickson Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Erickson Medical Clinic, LLC enrolled in Medicare?
Yes. Erickson Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Erickson Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Erickson Medical Clinic, LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Erickson Medical Clinic, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Erickson Medical Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Erickson Medical Clinic, LLC 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 Erickson Medical Clinic, LLC was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Erickson Medical Clinic, Llc · NPI 1689029464
Primary Care organization in Clay Center, Kansas. Organization record, active in the CMS NPPES registry since April 28, 2016.
## Identity
- **NPI:** 1689029464 (Entity type: Organization)
- **Enumerated:** April 28, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kent Erickson, PRESIDENT, MEMBER, OWNER
## Practice location
- **Address:** 409 LINCOLN AVE, Clay Center, KS 67432-2907
- **Phone:** (785) 632-6415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2016
- **Other identifiers:** Medicaid 100208950A (KS); Other 003863 (KS); Other 18630 (KS)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689029464) · Data from the CMS NPPES public registry.