MRS. CLANCY ERICKSON AGACNP
NPI 1821503129
Nurse Practitioner - Acute Care in Portland, ME
About Mrs. Clancy Erickson Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CLANCY ERICKSON AGACNP (NPI 1821503129) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP171179) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Clancy Erickson Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Clancy Erickson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 264 clinicians in this Medicare group
Naples, ME 04055
- Reassigned Medicare billing, Maine enrollment
- 33 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
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 Clancy Erickson's NPI number?
The NPI number for Clancy Erickson is 1821503129. It was assigned to this individual provider in the NPPES registry on December 8, 2017.
Where is Clancy Erickson located?
Clancy Erickson practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.
What is Clancy Erickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Clancy Erickson enrolled in Medicare?
Yes. Clancy Erickson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clancy Erickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clancy Erickson reassigns Medicare benefits to 4 organizations: Mainehealth (Portland, ME), Maine Medical Partners (Portland, ME), Central Maine Clinical Associates (Naples, ME) and Central Maine Medical Center (Lewiston, ME). 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 Clancy Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clancy Erickson accept?
Health plans from Taro Health list Clancy Erickson 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 Clancy Erickson was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Clancy Erickson, AGACNP · NPI 1821503129
Acute Care physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since December 8, 2017.
## Identity
- **NPI:** 1821503129 (Entity type: Individual)
- **Enumerated:** December 8, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** CNP171179 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 BRAMHALL ST, Portland, ME 04102-3134
- **Phone:** (207) 662-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1073701157, Portland, ME); Maine Medical Partners (NPI 1285738310, Portland, ME); Central Maine Clinical Associates (NPI 1922465616, Naples, ME); Central Maine Medical Center (NPI 1689653487, Lewiston, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1821503129) · Data from the CMS NPPES public registry.