MR. ORRIN BLAKE HANSEN (APRN) – Family Nurse Practitioner, NPI 1104916543
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MR. ORRIN BLAKE HANSEN (APRN)
127 E Main St
Suite E
Lehi, UT 840432288
Phone: (801) 766-9822
Fax: (801) 766-9441
Type: Location
58 N 750 E
AMERICAN FORK, UT 840032086
Phone: (801) 850-2434
Type: Mailing
1175 E 50 S STE 241
AMERICAN FORK, UT 840032849
Phone: (801) 492-5999
Fax: (801) 418-0897
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATT CREDENTIALING
PROVO, UT 84604
Phone: (801) 543-8225
Fax: (801) 418-0941
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $490.
Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($158).
Total Amount
$490
General + Research + Ownership
Payments
30
Total payment records
General Amount
$490
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $158 |
| Lilly USA, LLC | $50 |
| HARMONY BIOSCIENCES LLC | $45 |
| PFIZER INC. | $35 |
| Kowa Pharmaceuticals America, Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101223000158 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 28 | $0 |
| 83036 | Hemoglobin a1c level | 29 | 11 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 24 | 18 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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