DANIEL JAMES ERICKSON (PA-C) – Physician Assistant, NPI 1184264327

DANIEL JAMES ERICKSON (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for DANIEL JAMES ERICKSON (PA-C) is 1184264327

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL JAMES ERICKSON (PA-C)
NPI
1184264327
Phone
(616) 481-4719
Address
2484 CARRINGTON RD NE
Enumeration Date
15 January 2020
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318612187
Graduation Year
2019 (7 years ago)
PAC ID
1456787506
Group Practice PAC ID
1456430016
Professional Enrollment ID
I20200207001741

Contacts

Secure Messaging
derickson624398@direct.trinity-health.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

Provider Addresses for DANIEL JAMES ERICKSON (PA-C)

  • 2484 CARRINGTON RD NE

    GRAND RAPIDS, MI 495253093

    Phone: (616) 481-4719

    Type: Mailing

  • 71 BEVIER ST

    SHELBY, MI 494551209

    Phone: (231) 861-2172

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($466).

Total Amount

$1,062

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,062

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2020-02-07

PECOS data refreshed: 2026-06-15

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
I20200207001741IPhysician AssistantMITBD

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 49525)

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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: 1456430016View full group profile
NameSpecialtyState
Physician AssistantOH
Clinical Social WorkerMI
Family Practice, General PracticeMI
Physician AssistantMI
Qualified Speech Language PathologistMI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
-MI
Family PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for DANIEL JAMES ERICKSON (PA-C)?
Save NPI 1184264327 if you need a stable reference for DANIEL JAMES ERICKSON (PA-C).
Does this profile mean DANIEL JAMES ERICKSON (PA-C) is currently active?
Yes — DANIEL JAMES ERICKSON (PA-C) appears active in the national provider directory.
Can you summarize DANIEL JAMES ERICKSON (PA-C)'s specialty in plain language?
Clinically, the directory lists DANIEL JAMES ERICKSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does DANIEL JAMES ERICKSON (PA-C) practice in Michigan?
You will see Grand Rapids, Michigan on file for DANIEL JAMES ERICKSON (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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