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Deactivated NPI 1902035512 Deactivated / Inactive NPI Female Practitioner

Debra Erickson , LPN

Licensed Practical Nurse • Pine City, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Debra Erickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2009
NPI Deactivation Date February 18, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Debra Erickson, LPN was a registered Licensed Practical Nurse practicing in Pine City, MN. Throughout an active medical career spanning 13 years, Debra Erickson provided care at the practice location at 14856 EDGEWATER RD NE until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

14856 Edgewater Rd Ne

Pine City, MN 550635642

Telephone 3206291447
Fax 3206292318

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Pine City, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Pine City, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L68020-0

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ashley Thompson

Assisted Living Facility

NPI 1710507603

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active July 06, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2009

Registered at 14856 EDGEWATER RD NE, PINE CITY, MN 550635642 (Tel: 3206291447)

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Updated Business Mailing Address July 06, 2009

Registered at 14856 EDGEWATER RD NE, PINE CITY, MN 550635642 (Tel: 3206291447)

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Provider Name / Credentials Updated July 06, 2009

Recorded as DEBRA ERICKSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2009

Licensed Practical Nurse (License #L68020-0 in MN)

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Initial NPI Registration & Enumeration July 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902035512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2009
Last Update: July 06, 2009
Deactivation Date: February 18, 2022

Mailing Address

14856 Edgewater Rd Ne

Pine City, MN 550635642

Phone: 3206291447

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.