JORDAN LEE ERICKSEN (AU.D.) – Audiologist, NPI 1629574462

JORDAN LEE ERICKSEN (AU.D.) is a healthcare provider. based in St petersburg, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. AY2173 (FL). The NPI Number for JORDAN LEE ERICKSEN (AU.D.) is 1629574462

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN LEE ERICKSEN (AU.D.)
NPI
1629574462
Phone
(813) 879-8045
Address
6827 1ST AVE S STE 100
Enumeration Date
2 April 2018
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103562626
Graduation Year
2017 (9 years ago)
PAC ID
7214291616
Group Practice PAC ID
9436226750
Professional Enrollment ID
I20220810000012
Address ID
MD211175490OW23XXXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Loading map...

Provider Addresses for JORDAN LEE ERICKSEN (AU.D.)

  • 100, 1st Avenue South, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337071242

    Phone: (813) 879-8045

    Fax: (727) 341-0332

    Type: Location

  • 10002 PRINCESS PALM AVE STE 332

    TAMPA, FL 336198327

    Phone: (813) 571-7184

    Fax: (813) 654-4695

    Type: Mailing

  • 23 CROSSROADS DR STE 400

    OWINGS MILLS, MD 211175490

    Phone: (410) 356-2626

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220810000012IQualified AudiologistMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test222214$0
92567Test to assess middle ear function178175$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report131126$0
92550Test for eardrum and muscle function3028$0
View full utilization report →

Insurance plans in this area (ZIP 33707)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436226750View full group profile
NameSpecialtyState
Nurse PractitionerMD
O T O L A R Y N G O L O G YMD
Qualified AudiologistMD
Qualified AudiologistMD
Physical Therapist In Private PracticeMD
A L L E R G Y/ I M M U N O L O G YMD
O T O L A R Y N G O L O G YKY
Physician AssistantMD
Qualified AudiologistMD
Qualified AudiologistMD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up JORDAN LEE ERICKSEN (AU.D.) by NPI?
Use NPI 1629574462 when you need to reference JORDAN LEE ERICKSEN (AU.D.) in forms, claims, or directories.
Is JORDAN LEE ERICKSEN (AU.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JORDAN LEE ERICKSEN (AU.D.) treat or focus on?
Patients typically see JORDAN LEE ERICKSEN (AU.D.) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN LEE ERICKSEN (AU.D.)?
The snapshot lists St Petersburg, Florida for JORDAN LEE ERICKSEN (AU.D.); download NPPES for the complete set.
Is JORDAN LEE ERICKSEN (AU.D.) a real provider?
This page reflects official NPPES data for NPI 1629574462. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

601, 7th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
NPI: 1043206220
3450, 55th Street North, Saint Petersburg, Pinellas County, Florida, 33710, United States
NPI: 1538128541
BAY PINES VA HEALTHCARE SYSTEM
NPI: 1073571451
54th Avenue North, Bay Breeze Cove, Saint Petersburg, Pinellas County, Florida, 33703, United States
NPI: 1508802299
700, Southeast 5th Terrace, Crystal River, Citrus County, Florida, 34429, United States
NPI: 1043247760
PO BOX 863
NPI: 1447280466
Roser Park School, 801, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
NPI: 1255349908
880, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
NPI: 1235212846
880, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
NPI: 1831273291