Individual provider Active NPI

Ian Hansen, FNP

  • Family Nurse Practitioner
  • Layton, UT
National Provider Identifier
1518721695
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9100218-4405 Issued in UT
Practice address
1706 N 1200 W # 1042
Layton, UT 84041-5716
Phone
(801) 382-7985
Fax
(385) 284-1688
NPI assigned
Feb 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9100218-4405 UT Primary

Addresses

Primary practice location

1706 N 1200 W # 1042
Layton, UT 84041-5716

Mailing address

1706 N 1200 W # 1042
Layton, UT 84041-5716
Phone (801) 382-7985

Other practice location 1

1386 S 1025 W
Syracuse, UT 84075-9868
Phone (801) 866-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918003434 UT Practitioner - Nurse Practitioner 5799226668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9100218-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Medical CurrentSince Aug 5, 2024 Accepting new patients

Locations

3500 Harrison Blvd
Ste 200
Ogden, UT 84403
Phone (801) 627-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1518721695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 N 1200 W # 1042",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415716",
            "telephone_number": "801-382-7985",
            "fax_number": "385-284-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N 1200 W # 1042",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415716",
            "telephone_number": "801-382-7985",
            "fax_number": "385-284-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1386 S 1025 W",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759868",
            "country_code": "US",
            "telephone_number": "801-866-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "IAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9100218-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.