ERICA LEE ERTEL NPI 1013381037

NPI Information

NPI: 1013381037
Provider Name: ERICA LEE ERTEL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALLIANCE PHYSICIANS INC

PECOS Registration: Yes

Address:
3700 SOUTHERN BLVD STE 201
KETTERING, OH
ZIP 45429
Phone: (855) 500-2873
Get Directions

Erica Lee Ertel is a family nurse practitioner in Kettering, OH with 9 years of experience. Erica Lee Ertel NPI is 1013381037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

3700 SOUTHERN BLVD STE 201
KETTERING, OH
ZIP 45429-265
Phone: (855) 500-2873
Fax: (937) 281-3992

The NPI 1013381037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2015 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	COA. 18374-NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0155179	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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