Erica L. Hertzog, PHN
NPI 1942704895ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Wayzata, MN
Nurse Practitioner, Psych/Mental Health (PHN) with Portages Health LLC, practicing in Wayzata, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1942704895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHN |
| Sole proprietor | No |
| NPI issued | Mar 23, 2018 |
| Last updated in NPPES | Mar 9, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 9957 | MN |
| Registered Nurse, Community Health | 163WC1500X | R-186114-1 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Portages Health LLCMinneapolis, MN · 3 clinicians
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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