LISA M ERICKSEN PA-C
NPI 1366530354
Physician Assistant - Medical in Livonia, MI
NPI Status: Active since October 11, 2006
Contact Information
29200 SCHOOLCRAFT RD
LIVONIA, MI
ZIP 48150
Phone: (734) 523-2420
Fax: (734) 523-2464
- Individual
- Female
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About LISA ERICKSEN
This page provides the complete NPI Profile along with additional information for Lisa Ericksen, a primary care provider established in Livonia, Michigan with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1366530354 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 5601001522 (MI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1366530354
- Provider Name
- LISA M ERICKSEN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 29200 SCHOOLCRAFT RD LIVONIA, MI 48150
- Location Phone
- (734) 523-2420
- Location Fax
- (734) 523-2464
- Mailing Address
- 318 WAVERLEY AVE ROYAL OAK, MI 48067
- Mailing Phone
- (124) 822-9149
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 03-19-2021
- Code Navigator
A primary care provider (PCP) like Lisa Ericksen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601001522
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lisa Ericksen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 21 Medicare Claims 52 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
4 DME suppliers used 15 Medicare Claims 20 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 20 times for 20 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 55 times for 34 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 91 times for 50 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 12 times for 11 patientsReviews for LISA M ERICKSEN PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 5 | 3 | 0 | 3 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 10 | 3 | 0 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 0 + 3 + 0 + 3 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1366530354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174697098 | MR. MARK DONALD RESCHKE RPH Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1235250416 | SABRINA KARMO RPH Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1713 |
| 1396963468 | VICKI OLIVER R. PH. Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1265651251 | MS. SOPHIA HARDALOUPAS RPH Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1306066980 | KENNETH WAYNE OLIVER R.PH. Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1952516247 | SHANA FRANCINA BELL Individual | Pharmacy Technician | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1386852549 | MR. KEVIN RAY GAMBLE Individual | Pharmacy Technician | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1285802389 | MRS. MARIA MAGDALENA MAXEY APRN BC Individual | Nurse Practitioner (Adult Health) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (248) 420-5994 |
| 1780830943 | HENRY FORD HEALTH SYSTEM Organization | Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies) | 29200 SCHOOLCRAFT RD SUITE H LIVONIA, MI 48150 (734) 523-8644 |
| 1114361979 | DR. TERRI LYNNE BELVILLE-ROBERTSON PHD Individual | Psychologist (Clinical) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-8650 |
| 1619112414 | MR. HARRY LEWKOWICZ R.PH. Individual | Pharmacist | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1710071113 | HENRY FORD HEALTH SYSTEM Organization | Pharmacy (Community/Retail Pharmacy) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1023544715 | KAREN PURCELL-KOBEL Individual | Pharmacist (Ambulatory Care) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1710 |
| 1477054351 | LORI SCHLEGEL Individual | Occupational Therapist (Low Vision) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1070 |
| 1023519915 | MARY ELLEN DANIEL OTR/L Individual | Occupational Therapist (Low Vision) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1070 |
| 1336640077 | COLLEEN O'DONNELL Individual | Occupational Therapist (Low Vision) | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1070 |
| 1669547774 | HENRY FORD HEALTH SYSTEM Organization | Nurse Practitioner (Adult Health) | 29200 SCHOOLCRAFT RD OFFICE 2264 LIVONIA, MI 48150 (734) 523-8657 |
| 1902946841 | SAMAR ELACHKAR MD Individual | Internal Medicine | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-2420 |
| 1629332630 | DR. JOANNE KATHLEEN LA FLEUR M.D. Individual | Internal Medicine | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-2420 |
| 1922133800 | ARA BABAIAN MD Individual | Family Medicine | 29200 SCHOOLCRAFT RD LIVONIA, MI 48150 (734) 523-1740 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366530354, enumerated in the NPI registry as an "individual" on October 11, 2006
The provider is located at 29200 Schoolcraft Rd Livonia, Mi 48150 and the phone number is (734) 523-2420
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Established patient office or other outpatient visit, 40-54 minutes.
This NPI record was last updated on October 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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