BOOMER B. OLSEN DO
NPI 1437809936
Hospitalist in Salt Lake City, UT
About Boomer B. Olsen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOOMER B. OLSEN DO (NPI 1437809936) is an individual hospitalist provider in Salt Lake City, Utah, licensed in Utah (13509658-1204) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Boomer B. Olsen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Boomer Olsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boomer Olsen's NPI number?
The NPI number for Boomer Olsen is 1437809936. It was assigned to this individual provider in the NPPES registry on March 27, 2022.
Where is Boomer Olsen located?
Boomer Olsen practices at Helix 30 N Mario Capecchi Drive Rm 3n100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.
What is Boomer Olsen's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Boomer Olsen enrolled in Medicare?
Yes. Boomer Olsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Boomer Olsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Boomer Olsen reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boomer Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Boomer Olsen affiliated with any hospitals?
According to CMS data, Boomer Olsen is affiliated with University Of Utah Hospitals And Clinics and Intermountain Medical Center.
When was this NPI record last updated?
The NPPES record for Boomer Olsen was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boomer B. Olsen, DO · NPI 1437809936
Hospitalist physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 27, 2022.
## Identity
- **NPI:** 1437809936 (Entity type: Individual)
- **Enumerated:** March 27, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 13509658-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** HELIX 30 N MARIO CAPECCHI DRIVE RM 3N100, Salt Lake City, UT 84112
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2022
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437809936) · Data from the CMS NPPES public registry.