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

Erika Pettis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093343170

Erika Pettis is an Obstetrics/Gynecology in LA Porte, Indiana. Graduated from University of South Carolina School of Medicine in 2020, 6 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Indiana and Louisiana.

Years since qualifying
6
Trained at
University of South Carolina School of Medicine
Licensed in
IN, LA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1509 State St
LA Porte, IN 46350-3115
Phone: (219) 326-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1093343170 (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (LA)

Record details

NPI number1093343170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address1509 State St, La Porte, IN 46350-3115

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in LA Porte