JENNIFER M ERICSON PA-C
NPI 1740874510
Physician Assistant - Surgical in Sacramento, CA

Active since February 23, 2021PECOS EnrolledAccepts Medicare Assignment
2725 CAPITOL AVE, SACRAMENTO, CA 95816(916) 262-9404 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2025, Oct 22, 2021, Apr 19, 2021 and 1 more (4 updates tracked since 2021).

About Jennifer M Ericson Pa-c NPPES

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

JENNIFER M ERICSON PA-C (NPI 1740874510) is an individual surgical provider in Sacramento, California, licensed in California (PA64509) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740874510
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER M ERICSONCredential: PA-C
Location Address2725 CAPITOL AVESacramento, CA 95816-6004
Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (916) 262-9404
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 23, 2021
Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1740874510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in CA · PA64509 Licensed in UT · 12118129-1206
Also ListedPhysician AssistantTaxonomy 363A00000X
2725 CAPITOL AVE, Sacramento, CA 95816

Secondary Practice Location 1

Location 150 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 581-2121

Other Identifiers 1

Other12118129-1206UT · Physician Assistant State License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Ericson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749698967
PECOS Enrollment IDI20250306003097
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.

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.

Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Surgery
2725 CAPITOL AVE, SUITE 402
SACRAMENTO, CA 95816
Podiatrist
2725 CAPITOL AVE
SACRAMENTO, CA 95816
Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Otolaryngology
2725 CAPITOL AVE, #404
SACRAMENTO, CA 95816
Obstetrics & Gynecology
2725 CAPITOL AVE, SUITE 304
SACRAMENTO, CA 95816
Physician Assistant
2725 CAPITOL AVE, SUITE 300
SACRAMENTO, CA 95816

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 Ericson's NPI number?

The NPI number for Jennifer Ericson is 1740874510. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Jennifer Ericson located?

Jennifer Ericson practices at 2725 Capitol Ave, Sacramento, CA 95816. The listed phone number is (916) 262-9404.

What is Jennifer Ericson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Ericson enrolled in Medicare?

Yes. Jennifer Ericson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Ericson accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Jennifer Ericson 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 Jennifer Ericson was last updated on March 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.