Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Orrin Blake Hansen, APRN

Individual provider Family Nurse Practitioner · NPI 1104916543

Mr. Orrin Blake Hansen, APRN is a Nurse Practitioner in American Fork, Utah. Qualified in 2004, 22 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1175 E 50 S Ste 241
American Fork, UT 84003-2849
Phone: (801) 492-5999
Fax: (801) 418-0897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 E Main St, Lehi, UT 84043-2288 — (801) 766-9822

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 282878-4405 (UT)

Record details

NPI number1104916543
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address58 N 750 E, American Fork, UT 84003-2086

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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