Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Neil Erickson, MD

Individual provider Emergency Medicine Physician · NPI 1194059543

Dr. Jacob Neil Erickson, MD is an Emergency Medicine in Wilkes Barre, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Gslpg, Inc, a 267-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
18
Licensed in
AZ, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone: (570) 808-7762
Fax: (570) 808-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD442283 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R70194 (AZ)

Record details

NPI number1194059543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 1, 2009
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Gslpg, Inc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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