Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Liesa Clare Erickson, PA-C

Individual provider Physician Assistant · NPI 1154921047

Liesa Clare Erickson, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2020, 6 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
6
Licensed in
FL, MN
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

603 7th St S
St Petersburg, FL 33701-4719
Phone: (727) 893-6254
Fax: (727) 553-7158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9115833 (FL)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence STUDENT (MN)

Record details

NPI number1154921047
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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