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

Samantha Erickson

Individual provider Primary Care Nurse Practitioner · NPI 1104368950

Samantha Erickson is a Nurse Practitioner in Hasbrouck Heights, New Jersey. Qualified in 2016, 10 years ago. Practices with Personal NP Services LLC, a 65-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016

Practice location Address checks out

212 Columbus Ave
Hasbrouck Heights, NJ 07604-1622
Phone: (201) 394-0431
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ00681600 (NJ)

Record details

NPI number1104368950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 10, 2016
Mailing address212 Columbus Ave, Hasbrouck Heights, NJ 07604-1622

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Personal Np Services Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount