ERICA DUTTON
NPI 1922773563
Nurse Practitioner - Family in Louisville, KY

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3999 DUTCHMANS LN STE 7B, LOUISVILLE, KY 40207(502) 896-4711(502) 896-4791 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Aug 16, 2021 (2 updates tracked since 2021).

About Erica Dutton NPPES

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

ERICA DUTTON (NPI 1922773563) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3015897) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922773563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA DUTTON
Location Address3999 DUTCHMANS LN STE 7BLouisville, KY 40207-4742
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9407 · Fax (502) 272-5339
Fax(502) 896-4791
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2021
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1922773563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3015897
3999 DUTCHMANS LN STE 7B, Louisville, KY 40207

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

Erica Dutton 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 ID5092113324
PECOS Enrollment IDI20211018000585
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services68 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Physician Assistant
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner (Gerontology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Physician Assistant
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207

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 Erica Dutton's NPI number?

The NPI number for Erica Dutton is 1922773563. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Erica Dutton located?

Erica Dutton practices at 3999 Dutchmans Ln Ste 7B, Louisville, KY 40207. The listed phone number is (502) 896-4711.

What is Erica Dutton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Dutton enrolled in Medicare?

Yes. Erica Dutton 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 Erica Dutton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Erica Dutton 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.

Is Erica Dutton affiliated with any hospitals?

According to CMS data, Erica Dutton is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Erica Dutton was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.