ERIKA PACK
NPI 1790305043
Obstetrics & Gynecology in Draper, UT

Q: What is Erika Pack's NPI number?

The NPI number for Erika Pack is 1790305043. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Erika Pack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Erika Pack was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

96 E KIMBALLS LN STE 202, DRAPER, UT 84020(801) 523-3053(801) 523-3059 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, May 1, 2024, Apr 16, 2020 (3 updates tracked since 2020).

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About Erika Pack NPPES

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

ERIKA PACK (NPI 1790305043) is an individual obstetrics & gynecology provider in Draper, Utah, licensed in Utah (13933790-1204) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Lone Peak Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1790305043

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameERIKA PACK

Location Address96 E KIMBALLS LN STE 202Draper, UT 84020-5021

Mailing AddressPo Box 198546Atlanta, GA 30384-8546

Phone(801) 523-3053

Fax(801) 523-3059

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020

Enumeration DateApril 16, 2020

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1790305043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in UT · 13933790-1204

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

96 E KIMBALLS LN STE 202, Draper, UT 84020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Erika Pack 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 ID7315487469

PECOS Enrollment IDI20240904003013

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

CHELSEA NAY CNM

Advanced Practice Midwife