ANNELISE EILEEN ERPENBECK PA-C NPI 1902100373

NPI Information

NPI: 1902100373
Provider Name: ANNELISE EILEEN ERPENBECK, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 355-2171

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NPI Details

Annelise Eileen Erpenbeck, PA-C is a physician assistant in Charlotte, NC. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Annelise Eileen Erpenbeck, PA-C NPI is 1902100373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-812
Phone: (704) 355-2171
Fax: (704) 355-5736

The NPI 1902100373 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
Emergency department visit for problem of high severity (HCPCS:99284)
Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 12/29/2010 and was last updated on 12/5/2016.

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	363A00000X	Physician Assistant		0010-04587	NORTH CAROLINA	Yes
2	363A00000X	Physician Assistant		TL 1612	SOUTH CAROLINA	No

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
1	1902100373	MEDICAID	NORTH CAROLINA
2	NCG910A	MEDICARE PIN	NORTH CAROLINA
3	1108PA	MEDICAID	SOUTH CAROLINA

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: 3/30/2025

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