BOOMER B. OLSEN DO
NPI 1437809936
Hospitalist in Salt Lake City, UT

Q: 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.

Q: What is Boomer Olsen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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 3 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.

Active since March 27, 2022PECOS Enrolled

HELIX 30 N MARIO CAPECCHI DRIVE RM 3N100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Aug 8, 2023 (2 updates tracked since 2023).

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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 Intermountain Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2022).

NPPES Registry Identity

NPI1437809936

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBOOMER B. OLSENCredential: DO

Location AddressHELIX 30 N MARIO CAPECCHI DRIVE RM 3N100Salt Lake City, UT 84112

Mailing AddressHelix 30 N Mario Capecchi Drive Rm 3n100Salt Lake City, UT 84112 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2022

Enumeration DateMarch 27, 2022

Last NPPES UpdateApril 16, 20262 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1437809936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in UT · 13509658-1204

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 13509658-1204 (UT)

HELIX 30 N MARIO CAPECCHI DRIVE RM 3N100, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boomer B. Olsen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204299555

PECOS Enrollment IDI20260601000129

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Physician 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.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

GRANT P. GOSDEN MD

Internal Medicine