ERIN MICHAELIS (NP) – Gerontology Nurse Practitioner, NPI 1639578628

ERIN MICHAELIS (NP) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 9009534-4405 (UT). The NPI Number for ERIN MICHAELIS (NP) is 1639578628

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ERIN MICHAELIS (NP)
NPI
1639578628
Phone
(208) 302-0000
Address
3340 E GOLDSTONE WAY
Enumeration Date
15 August 2014
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
8628391422
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20190311002383
Address ID
ID836877912NA9850XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,814 NURSE PRACTITIONER in ID

Provider Addresses for ERIN MICHAELIS (NP)

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 83642

    Phone: (208) 302-0000

    Fax: (208) 302-0055

    Type: Mailing

  • 6140 W CURTISIAN AVE

    STE 200

    BOISE, ID 83704

    Phone: (208) 302-0000

    Fax: (208) 302-0055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($130).

Total Amount

$251

General + Research + Ownership

Payments

2

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-03-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141231002103INurse PractitionerUTTBD
I20190311002383INurse PractitionerIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes386186$0
99215Established patient office or other outpatient visit, 40-54 minutes10093$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
General SurgeryID
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineID

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

What unique ID ties claims to ERIN MICHAELIS (NP)?
NPI 1639578628 is assigned to ERIN MICHAELIS (NP) under the national enumeration system.
Is ERIN MICHAELIS (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ERIN MICHAELIS (NP)?
The page reflects Gerontology Nurse Practitioner for ERIN MICHAELIS (NP). Clinical services aligned with this taxonomy classification.
Where is ERIN MICHAELIS (NP)'s primary listing?
We display Meridian, Idaho because that is what the record indicates for ERIN MICHAELIS (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33592-2123, United States
NPI: 1720144793

KATHRYN SISTERMAN (DNP)

Gerontology Nurse Practitioner
Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States
NPI: 1942485891

VERONICA LYNN CARSON (GNP-BG)

Gerontology Nurse Practitioner
3433 BROADWAY ST NE
NPI: 1366751059

SIMPLY WOMENS HEALTH LLC

Adult Health Nurse Practitioner
2273 E GALA ST
NPI: 1013256379

SHERRI SIEGEL (NP)

Gerontology Nurse Practitioner
3340 E GOLDSTONE WAY
NPI: 1447707120

CAROLYN PUNT (NP-C)

Gerontology Nurse Practitioner
3340 E GOLDSTONE WAY
NPI: 1497296768

TYLER JUE (NP)

Gerontology Nurse Practitioner
3340 E GOLDSTONE WAY
NPI: 1033641154