Active NPI
Sean Lucien Olsen, DNP
- Family Nurse Practitioner
- Manti, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6898945-4405
- Practice address
- 46 N Main St
Manti, UT 84642-1254 - Phone
- (435) 835-7246
- Fax
- (435) 835-7247
- NPI assigned
- Feb 18, 2016
- Last updated
- Aug 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6898945-4405 | UT | Primary |
Addresses
Primary practice location
46 N Main St
Manti, UT 84642-1254
Mailing address
46 N Main St
Manti, UT 84642-1254
Phone (435) 835-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gunnison Valley Hospital
Practice addresses (Care Compare)
156 S Main St
Manti, UT 84642-1351
Phone (435) 835-7246
46 N Main St
Manti, UT 84642-1254
Phone (435) 835-7246
64 E 100
Gunnison, UT 84634-0759
Phone (435) 528-7246
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Family Medicine | Current | Accepting new patients |
| Gunnison Valley Hospital | Family Medicine | Current | Accepting new patients |
| Wyoming Behavioral Institute | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Douglas C. Walker D.O., P.C. | Family Medicine | Past | Accepting new patients |
Locations
156 S Main St
Manti, UT 84642
Phone (435) 835-7246
46 N Main St
Manti, UT 84642
Phone (435) 835-6000
2521 E 15th St
Casper, WY 82609
Phone (307) 237-7444
4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mid-Utah Family Medicine
- Rural Health Clinic/Center
- Gunnison, UT
- NPI 1255924486
Family Medicine
-
- Critical Access Hospital
- Gunnison, UT
- NPI 1952463036
-
- Psychiatric Hospital
- Casper, WY
- NPI 1295709822
-
dba Mission at Community Living Rehabilitation Center
- Skilled Nursing Facility
- Gunnison, UT
- NPI 1053580944
-
dba Main Street Family Clinic
- Rural Health Clinic/Center
- Manti, UT
- NPI 1063038628
Family Medicine
-
- Family Medicine Physician
- Garland, UT
- NPI 1306843750
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gunnison Valley Hospital Hospice
- Community Based Hospice Care Agency
- Gunnison, UT
- NPI 1013078922
-
- Critical Access Hospital
- Gunnison, UT
- NPI 1952463036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1609235688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 N MAIN ST",
"city": "MANTI",
"state": "UT",
"postal_code": "846421254",
"telephone_number": "435-835-7246",
"fax_number": "435-835-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 N MAIN ST",
"city": "MANTI",
"state": "UT",
"postal_code": "846421254",
"telephone_number": "435-835-7246",
"fax_number": "435-835-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "SEAN",
"middle_name": "LUCIEN",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-18",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "6898945-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manti, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.