ERICA LYNN LIEBELT (MD) – Pediatrics Physician, NPI 1356338131
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ERICA LYNN LIEBELT (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 215-3354
Fax: (206) 233-7489
Type: Mailing
747, Broadway, First Hill, Seattle, King County, Washington, 98122, United States
SEATTLE, WA 981224379
Phone: (206) 215-6500
Fax: (206) 215-6599
Type: Location
110 CHADWICK SQUARE CT STE A
HENDERSONVILLE, NC 287393238
Phone: (828) 692-4289
Fax: (828) 696-1794
Type: Location
PO BOX 251418
LITTLE ROCK, AR 722251418
Phone: (501) 364-1100
Type: Mailing
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 722023500
Phone: (501) 364-1100
Fax: (501) 364-4082
Type: Location
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: 2025-03-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210421002959 | I | Pediatric Medicine | AR | TBD |
| I20250311000866 | I | Pediatric Medicine | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84125)
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