DR. JACOB NEIL ERICKSON (M.D.) – Emergency Medicine Physician, NPI 1194059543

DR. JACOB NEIL ERICKSON (M.D.) is a healthcare provider. based in Wilkes barre, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. R70194 (AZ). The NPI Number for DR. JACOB NEIL ERICKSON (M.D.) is 1194059543

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB NEIL ERICKSON (M.D.)
NPI
1194059543
Phone
(570) 808-7762
Address
1000 E MOUNTAIN DR
Enumeration Date
1 October 2009
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2726394990
Graduation Year
2008 (18 years ago)
PAC ID
0244408045
Group Practice PAC ID
7810226875
Professional Enrollment ID
I20110721000836
Address ID
PA179612202OR100XXBLVD300

Contacts

Secure Messaging
jerickson496172@direct.geisinger.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

3,411 EMERGENCY MEDICINE in PA

Provider Addresses for DR. JACOB NEIL ERICKSON (M.D.)

  • 1000 E MOUNTAIN DR

    WILKES BARRE, PA 187110027

    Phone: (570) 808-7762

    Fax: (570) 808-6128

    Type: Location

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181036202

    Phone: (610) 402-8111

    Fax: (610) 402-1698

    Type: Location

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

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: 2011-07-21

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
I20110721000836IEmergency MedicinePATBD

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
99284Emergency department visit with moderate level of medical decision making201197$0
99285Emergency department visit with high level of medical decision making172159$0
99291Critical care, first 30-74 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 18711)

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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: 7810226875View full group profile
NameSpecialtyState
Emergency MedicinePA
Physician AssistantPA
Family PracticePA
Emergency MedicineOH
N E U R O L O G YPA
N E U R O L O G YPA
-PA
Nephrology, Internal MedicinePA
Internal MedicinePA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JACOB NEIL ERICKSON (M.D.)?
NPI 1194059543 is assigned to DR. JACOB NEIL ERICKSON (M.D.) under the national enumeration system.
Is DR. JACOB NEIL ERICKSON (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JACOB NEIL ERICKSON (M.D.) as an active registrant.
Does DR. JACOB NEIL ERICKSON (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. JACOB NEIL ERICKSON (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JACOB NEIL ERICKSON (M.D.) practice in Pennsylvania?
You will see Wilkes Barre, Pennsylvania on file for DR. JACOB NEIL ERICKSON (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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