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

Mrs. Erin L Micenheimer, PA-C

Individual provider Medical Physician Assistant · NPI 1871897207

Mrs. Erin L Micenheimer, PA-C is a Medical Physician Assistant in Wood River, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1702 Vaughn Rd
Wood River, IL 62095-1898
Phone: (618) 259-3321
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085004262 (IL)

Record details

NPI number1871897207
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2010
Last updated in NPPESApril 12, 2012