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

Stacie Egan, NP

Individual provider Nurse Practitioner · NPI 1376062752

Stacie Egan, NP is a Nurse Practitioner in Ogden, Utah. Qualified in 2017, 9 years ago. Practices with Ogden Clinic Specialty Services LLC, a 133-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone: (801) 475-3380
Fax: (801) 475-3381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7979937-3102 (UT)

Record details

NPI number1376062752
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 16, 2017
Last updated in NPPESDecember 4, 2019
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ogden Clinic Specialty Services Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ogden