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

Mrs. Erica Lynn Dutter Trimm, PA

Individual provider Physician Assistant · NPI 1629322060

Mrs. Erica Lynn Dutter Trimm, PA is a Physician Assistant in Fayetteville, New York. Qualified in 2016, 10 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4115 Medical Center Dr Ste 115
Fayetteville, NY 13066-6636
Phone: (315) 329-2555
Fax: (315) 744-1957
Show map & directions

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

Additional practice locations (1)

  • 6620 Fly Rd, East Syracuse, NY 13057-9791 — (315) 464-4472

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 020198 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 020198 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 002370 (NY)

Record details

NPI number1629322060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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