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
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

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

Other providers in Provo