MR. ERICK MITCHELL MCCORMICK (RN) – Certified Registered Nurse Anesthetist, NPI 1366189250

MR. ERICK MITCHELL MCCORMICK (RN) is a healthcare provider. based in Beach park, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 041.453025 (IL). The NPI Number for MR. ERICK MITCHELL MCCORMICK (RN) is 1366189250

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERICK MITCHELL MCCORMICK (RN)
NPI
1366189250
Phone
(224) 723-7112
Address
10141 W YORK HOUSE RD
Enumeration Date
12 May 2022
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478724561
Graduation Year
2023 (3 years ago)
PAC ID
8527414713
Group Practice PAC ID
3274446596
Professional Enrollment ID
I20240306000339
Address ID
IL600992676ZI2520XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for MR. ERICK MITCHELL MCCORMICK (RN)

  • 10141 W YORK HOUSE RD

    BEACH PARK, IL 600872405

    Phone: (224) 723-7112

    Type: Mailing

  • 3333 GREEN BAY RD

    NORTH CHICAGO, IL 600643037

    Phone: (847) 578-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $7.

Total Amount is formed as General ($7) + Research ($0) + Ownership ($0) = $7.

Last reported payment date: 2024-06-22 • Largest payer in this snapshot: Pajunk Medical Systems, LP ($7).

Total Amount

$7

General + Research + Ownership

Payments

1

Total payment records

General Amount

$7

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-22

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: 2025-03-26

PECOS data refreshed: 2026-05-27

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
I20240306000339ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20250326002906ICertified Registered Nurse Anesthetist (Crna)WITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60087)

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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: 3274446596View full group profile
NameSpecialtyState
Thoracic SurgeryOK
Interventional Radiology, Diagnostic RadiologyIL
General Surgery, Surgical OncologyIL
Hematology/Oncology, Internal MedicineIL
Pulmonary DiseaseIL
Radiation OncologyIL
Registered Dietitian Or Nutrition ProfessionalNY
Medical OncologyIL
Nurse PractitionerIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

How do I look up MR. ERICK MITCHELL MCCORMICK (RN) by NPI?
Use NPI 1366189250 when you need to reference MR. ERICK MITCHELL MCCORMICK (RN) in forms, claims, or directories.
Is MR. ERICK MITCHELL MCCORMICK (RN)'s NPI currently valid?
The extract we use shows MR. ERICK MITCHELL MCCORMICK (RN) as active.
What kind of provider is MR. ERICK MITCHELL MCCORMICK (RN)?
The page reflects Certified Registered Nurse Anesthetist for MR. ERICK MITCHELL MCCORMICK (RN). Clinical services aligned with this taxonomy classification.
What location shows for MR. ERICK MITCHELL MCCORMICK (RN)?
We surface Beach Park, Illinois for MR. ERICK MITCHELL MCCORMICK (RN) based on available NPPES addresses.
How can I contact MR. ERICK MITCHELL MCCORMICK (RN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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