MS. ERICKA RAVENELL PHYSICIAN ASSISTANT
NPI 1992150270
Physician Assistant - Medical in Bronx, NY
About Ms. Ericka Ravenell Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ERICKA RAVENELL PHYSICIAN ASSISTANT (NPI 1992150270) is an individual medical provider in Bronx, New York, licensed in Georgia (9660) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2020).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Ericka Ravenell Physician Assistant 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
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 Ericka Ravenell's NPI number?
The NPI number for Ericka Ravenell is 1992150270. It was assigned to this individual provider in the NPPES registry on April 25, 2016.
Where is Ericka Ravenell located?
Ericka Ravenell practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-2985.
What is Ericka Ravenell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ericka Ravenell enrolled in Medicare?
Yes. Ericka Ravenell 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.
Is Ericka Ravenell affiliated with any hospitals?
According to CMS data, Ericka Ravenell is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ericka Ravenell was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Ericka Ravenell, PHYSICIAN ASSISTANT · NPI 1992150270
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 25, 2016.
## Identity
- **NPI:** 1992150270 (Entity type: Individual)
- **Enumerated:** April 25, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 9660 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-2985
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2020
## Record status
- **NPPES last updated:** March 11, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1992150270) · Data from the CMS NPPES public registry.