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MARTY LYNN ERICKSEN MD
NPI 1952338808
Anesthesiology in Salt Lake City, UT

Active since June 27, 2006PECOS Enrolled
100 N. MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-3578 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marty Lynn Ericksen Md NPPES

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

MARTY LYNN ERICKSEN MD (NPI 1952338808) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in Utah (363155-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952338808
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMARTY LYNN ERICKSENCredential: MD
Location Address100 N. MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-3578
Phone(801) 662-3578
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1952338808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 363155-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
100 N. MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Identifiers 12

Other77988UT · Healthy U
Medicaid806196700ID
Medicaid120083600WY
Other36315512000001UT · Bcbs
Other693497UT · Deseret Mutual
Medicaid878407AZ
Other100504905UT · First Health
Other219176UT · Altius
Other78899UT · Pehp
Medicaid0153221MT
Other870280408MTYUT · Educators Mutual
OtherPRA06245UT · Molina

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marty Lynn Ericksen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marty Ericksen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Anesthesiologists Inc
0.1 mi
Anesthesiology
100 N MEDICAL DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 48 clinicians in this Medicare group
NPI 1417965799 (888) 249-4598

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marty Ericksen's NPI number?

The NPI number for Marty Ericksen is 1952338808. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Marty Ericksen located?

Marty Ericksen practices at 100 N. Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-3578.

What is Marty Ericksen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Marty Ericksen enrolled in Medicare?

Yes. Marty Ericksen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marty Ericksen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marty Ericksen reassigns Medicare benefits to Pediatric Anesthesiologists Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marty Ericksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marty Ericksen accept?

Health plans from Select Health list Marty Ericksen 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 Marty Ericksen was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.