Shelly Marie Erickson, FNP in Phoenix, AZ - Medicare Nurse Practitioner

Shelly Marie Erickson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is 5777 E Mayo Blvd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 515-6296.

Shelly Marie Erickson is licensed to practice in Arizona (license number AP10486) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124543244.

Contact Information

	Shelly Marie Erickson, FNP
	5777 E Mayo Blvd, Phoenix, AZ 85054-4502
	(480) 515-6296
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelly Marie Erickson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5777 E Mayo Blvd, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelly Marie Erickson graduated from nursing school in 2017

NPI Data:

NPI Number: 1124543244
Provider Enumeration Date: 08/09/2017
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 2264706399
Enrollment ID: I20170927003918

Medical Identifiers

Medical identifiers for Shelly Marie Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124543244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP10486 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Gateway Medical Center	Gilbert, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Cancer Center Specialists Llc	6103097779	261

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelly Marie Erickson allows following entities to bill medicare on her behalf.

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Marie Erickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelly Marie Erickson, FNP 19755 E Willow Dr, Queen Creek, AZ 85142-9430 Ph: (480) 209-4631	Shelly Marie Erickson, FNP 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 515-6296

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
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Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Shelly Marie Erickson, FNP - Medicare Nurse Practitioner in Phoenix, AZ