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

Eric Raymond Lang

Individual provider Family Nurse Practitioner · NPI 1649158981

Eric Raymond Lang is a Nurse Practitioner in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1055 N 500 W W Bldg A
Provo, UT 84604
Phone: (801) 812-5033
Fax: (801) 812-5034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 W 800 N, Orem, UT 84057-3660 — (801) 714-6080

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7847331-4405 (UT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 7847331-8900 (UT)

Record details

NPI number1649158981
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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