Individual provider Active NPI

Savannah Rosemary Ericksen, DO

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1770077182
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-49549 Issued in KS
Practice address
6265 Rock Chalk Dr, Suite 1100
Lawrence, KS 66049-5240
Phone
(785) 505-5070
Fax
(785) 505-5264
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-49549 KS Primary

Addresses

Primary practice location

6265 Rock Chalk Dr, Suite 1100
Lawrence, KS 66049-5240

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Other practice location 1

1112 W 6th St Ste 101
Lawrence, KS 66044-2247
Phone (785) 505-5888

Other identifiers 1

IdentifierTypeStateIssuer
30005196340001MedicaidKS

Other names 1

  • Savannah Rosemary Allen Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address savannahericksen@mhccaremail.com
Direct Messaging Address savannah.ericksen@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913002013 KS Practitioner - Family Practice 3274889670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1112 W 6TH St
101 LMH Health Primary Care 6TH and Maine
Lawrence, KS 66044-2249
Phone (785) 505-5888

Hospital & facility affiliations

  • Visiting Nurses Association (Vna) Home health agency, Lawrence, KS, CCN 177034
  • LMH Hospital, Lawrence, KS, CCN 170137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-49549KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Aug 28, 2024 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC Family Medicine CurrentSince Aug 28, 2024 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1112 W 6th St
Ste 101
Lawrence, KS 66044
Phone (785) 505-5888

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

6265 Rock Chalk Dr
Unit 1100
Lawrence, KS 66049
Phone (785) 505-5070

Interoperability endpoints

  • Direct secure messaging: savannahericksen@mhccaremail.com
  • Direct secure messaging: savannah.ericksen@direct.lmh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1770077182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR, SUITE 1100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495240",
            "telephone_number": "785-505-5070",
            "fax_number": "785-505-5264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 W 6th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660442247",
            "country_code": "US",
            "telephone_number": "785-505-5888",
            "fax_number": "785-505-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "SAVANNAH",
        "middle_name": "ROSEMARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-49549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005196340001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "savannahericksen@mhccaremail.com",
            "affiliation": "N",
            "address_1": "1602 N 2nd St",
            "city": "Clinton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647351192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "savannah.ericksen@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6265 Rock Chalk Dr, Suite 1100",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660495240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "ALLEN",
            "middle_name": "ROSEMARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.