Active NPI
Melissa Glenn Olsen, FNP
- Family Nurse Practitioner
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02220852
- Practice address
- 5171 S Cottonwood St Ste 210
Murray, UT 84107-5718 - Phone
- (801) 507-3380
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02220852 | UT | Primary |
| Family Nurse Practitioner | 363LF0000X | 74993 | ID |
Addresses
Primary practice location
5171 S Cottonwood St Ste 210
Murray, UT 84107-5718
Mailing address
610 Oakland Ave
Austin, TX 78703-5136
Phone (435) 640-6201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
2650 N Tenaya Way
Suite 360
Las Vegas, NV 89128-1102
Phone (801) 507-3380
5171 S Cottonwood St
Suite 305
Murray, UT 84107-5704
Phone (801) 507-9310
Hospital & facility affiliations
- Intermountain Medical Center
- American Fork Hospital
- St Luke'S Regional Medical Center
- St. George Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02220852 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
3277 E Louise Dr
Ste 150
Meridian, ID 83642
Phone (208) 388-7239
444 Hospital Way
Pocatello, ID 83201
Phone (208) 232-6214
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
2650 N Tenaya Way
Ste 360
Las Vegas, NV 89128
Phone (702) 240-0088
1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100
5171 S Cottonwood St
Ste 210
Salt Lake City, UT 84107
5171 S Cottonwood St
Ste 305
Salt Lake City, UT 84107
Phone (801) 507-9310
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
1380 E Medical Center Dr
Ste 4500
St George, UT 84790
Phone (435) 251-2501
Organizations & group practices 9
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- St George, UT
- NPI 1679854863
NV
-
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1710200373
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1083353643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 OAKLAND AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787035136",
"telephone_number": "435-640-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S COTTONWOOD ST STE 210",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075718",
"telephone_number": "801-507-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MELISSA",
"middle_name": "GLENN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "F02220852",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "74993",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.