DAVIS L ERICKSON (M.D.) – Anesthesiology Physician, NPI 1285093567

DAVIS L ERICKSON (M.D.) is a healthcare provider. based in Nellis afb, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 30176 (NE). The NPI Number for DAVIS L ERICKSON (M.D.) is 1285093567

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DAVIS L ERICKSON (M.D.)
NPI
1285093567
Phone
(702) 653-3550
Address
4700 LAS VEGAS BLVD N
Enumeration Date
16 February 2016
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7028802100
Graduation Year
2016 (10 years ago)
PAC ID
5496175184
Group Practice PAC ID
6507925849
Professional Enrollment ID
I20201019002092
Address ID
NV891484844LA9300XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

555 ANESTHESIOLOGY in NV

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Provider Addresses for DAVIS L ERICKSON (M.D.)

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3550

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201019002092IAnesthesiologyNVTBD
I20201214001399IAnesthesiologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507925849View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
-NV
A N E S T H E S I O L O G YNY
-NV
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMN
-NV

Reviews

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Frequently asked questions

Is DAVIS L ERICKSON (M.D.) listed with a National Provider Identifier?
Yes — DAVIS L ERICKSON (M.D.) has NPI 1285093567 on file in the registry.
Would DAVIS L ERICKSON (M.D.) appear as active to a payer?
You can treat DAVIS L ERICKSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DAVIS L ERICKSON (M.D.)?
DAVIS L ERICKSON (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DAVIS L ERICKSON (M.D.) located near Nellis Afb?
DAVIS L ERICKSON (M.D.) currently maps to Nellis Afb, Nevada in this extract.
Can I trust this NPI listing for DAVIS L ERICKSON (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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