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LANDON PHILLIP HENRIKSEN
NPI 1891378741
Student in an Organized Health Care Education/Training Program in Slc, UT

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
228 E 1ST AVE APT 7, SLC, UT 84103(801) 696-4261 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Landon Phillip Henriksen NPPES

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

LANDON PHILLIP HENRIKSEN (NPI 1891378741) is an individual student in an organized health care education/training program in Slc, Utah and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891378741
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANDON PHILLIP HENRIKSEN
Location Address228 E 1ST AVE APT 7Slc, UT 84103-2344
Mailing Address228 E 1st Ave Apt 7Slc, UT 84103-2344 · (801) 696-4261
Phone(801) 696-4261
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1891378741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

228 E 1ST AVE APT 7, Slc, UT 84103
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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

Landon Phillip Henriksen 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 ID1052841772
PECOS Enrollment IDI20250211002218
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.

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 Landon Henriksen's NPI number?

The NPI number for Landon Henriksen is 1891378741. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Landon Henriksen located?

Landon Henriksen practices at 228 E 1st Ave Apt 7, Slc, UT 84103. The listed phone number is (801) 696-4261.

What is Landon Henriksen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Landon Henriksen enrolled in Medicare?

Yes. Landon Henriksen 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.

When was this NPI record last updated?

The NPPES record for Landon Henriksen was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.