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MR. ERIC WALLACE GLISSMEYER MD
NPI 1245490424
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
295 CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7450 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Mr. Eric Wallace Glissmeyer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ERIC WALLACE GLISSMEYER MD (NPI 1245490424) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (7891781-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2008).

NPPES Registry Identity

NPI1245490424
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMR. ERIC WALLACE GLISSMEYERCredential: MD
Location Address295 CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address1966 S 700 EBountiful, UT 84010-4104 · (801) 298-0076
Phone(801) 587-7450
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2008
Enumeration DateJune 11, 2008
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1245490424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in UT · 7891781-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
295 CHIPETA WAY, Salt Lake City, UT 84108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eric Wallace Glissmeyer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517180995
PECOS Enrollment IDI20140604000170
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY TREMAIN KIRK M.D.
Pediatrics (Neonatal-Perinatal Medicine)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7052
KIMBERLY STEVENSON SMITH FNP-C
Nurse Practitioner (Family)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 588-8276
REENA PATEL TAM M.D.
Pediatrics
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ALLISON ANNE KELLER M.D.
Emergency Medicine (Pediatric Emergency Medicine)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7450
MR. FRANCE A DAVIS II PA-C
Physician Assistant
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7575
CASIDEE THOMPSON
Student in an Organized Health Care Education/Training Program
295 CHIPETA WAY, SUITE 22
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
TIFFANY KAE PROFSKY NP-C
Nurse Practitioner (Family)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7416
CAROLINE HAGEDORN RN, PNP
Nurse Practitioner (Pediatrics)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Glissmeyer's NPI number?

The NPI number for Eric Glissmeyer is 1245490424. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Eric Glissmeyer located?

Eric Glissmeyer practices at 295 Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7450.

What is Eric Glissmeyer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Eric Glissmeyer enrolled in Medicare?

Yes. Eric Glissmeyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Glissmeyer accept?

Health plans from Select Health and University of Utah Health Plans list Eric Glissmeyer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Glissmeyer was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.