Jennifer M. Ericson, PA-C
NPI 1740874510ActiveIndividual· Physician Assistant, Surgical· Sacramento, CA
Physician Assistant, Surgical (PA-C) with Sutter Valley Medical Foundation, practicing in Sacramento, California. Enrolled in Medicare as practitioner - physician assistant. Lists Sutter Medical Center, Sacramento as a hospital affiliation.
Overview
| NPI | 1740874510 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 23, 2021 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA64509 | CA |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | 12118129-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
Hospital affiliation
- Sutter Medical Center, SacramentoSacramento, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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