Individual provider Active NPI

Sean Lucien Olsen, DNP

  • Family Nurse Practitioner
  • Manti, UT
National Provider Identifier
1609235688
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6898945-4405 Issued in UT
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 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, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160412000798 UT Practitioner - Nurse Practitioner 5597063396 Reassigns benefits to 3 organizations
I20180301000948 WY Practitioner - Nurse Practitioner 5597063396 Reassigns benefits to 1 organization

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 HospitalGroup PAC ID 3678487659, shared by 23 NPIs, 15 clinicians

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

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Jul 1, 2020 Accepting new patients
Gunnison Valley Hospital Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Gunnison Valley Hospital Family Medicine Current Accepting new patients
Wyoming Behavioral Institute CurrentSince Jan 24, 2018 Accepting new patients
Gunnison Valley Hospital CurrentSince Feb 17, 2024 Accepting new patients
Douglas C. Walker D.O., P.C. Family Medicine PastSince Sep 15, 2003 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.

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": "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

Verify at the official NPI Registry.