MRS. JENNIFER MARIE ERICKSON (PA-C) – Physician Assistant, NPI 1194045682
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MRS. JENNIFER MARIE ERICKSON (PA-C)
26458 MAPLE VALLEY BLACK DIAMOND RD SE
MAPLE VALLEY, WA 980388350
Phone: (425) 690-3460
Type: Mailing
3021 GRIFFIN AVE
ENUMCLAW, WA 980222369
Phone: (360) 825-6511
Fax: (360) 825-6536
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 $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Biogen, Inc. ($73).
Total Amount
$73
General + Research + Ownership
Payments
1
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $73 |
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: 2010-09-03
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100903000976 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 11 | $0 |
Insurance plans in this area (ZIP 98038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Hospice/Palliative Care, Internal Medicine | WA | |
| Internal Medicine, Hospitalist | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA |
Reviews
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