ERICKA ROBERTS (PA-C) – Medical Physician Assistant, NPI 1679738819

ERICKA ROBERTS (PA-C) is a healthcare provider. based in Stillwater, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10441 (MN). The NPI Number for ERICKA ROBERTS (PA-C) is 1679738819

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ERICKA ROBERTS (PA-C)
NPI
1679738819
Phone
(651) 342-1039
Address
270 MAIN ST N STE 300
Enumeration Date
28 July 2008
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513421039
Graduation Year
2008 (18 years ago)
PAC ID
4082770888
Group Practice PAC ID
4486658333
Professional Enrollment ID
I20090303000420
Address ID
MN550826788ST270XXNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for ERICKA ROBERTS (PA-C)

  • Main Street North, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550826788

    Phone: (651) 342-1039

    Fax: (651) 342-1428

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2018-02-21

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
I20090303000420IPhysician AssistantMNTBD
I20180221001013IPhysician AssistantWITBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes645208$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1414$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55082)

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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: 4486658333View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ERICKA ROBERTS (PA-C)?
Save NPI 1679738819 if you need a stable reference for ERICKA ROBERTS (PA-C).
Does this profile mean ERICKA ROBERTS (PA-C) is currently active?
Yes — ERICKA ROBERTS (PA-C) appears active in the national provider directory.
Does ERICKA ROBERTS (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for ERICKA ROBERTS (PA-C). Clinical services aligned with this taxonomy classification.
Where is ERICKA ROBERTS (PA-C)'s primary listing?
We display Stillwater, Minnesota because that is what the record indicates for ERICKA ROBERTS (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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