ROBERT IVAN WOLLENZIEN NPI 1831674092

NPI Information

  • NPI: 1831674092
  • Provider Name: ROBERT IVAN WOLLENZIEN
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 555 WEST SR 164
    SALEM, UT
    ZIP 84653
  • Phone: (801) 465-4813

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NPI Details

Robert Ivan Wollenzien is a physician assistant in Salem, UT with 7 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Robert Ivan Wollenzien NPI is 1831674092. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 WEST SR 164
SALEM, UT
ZIP 84653
Phone: (801) 465-4813
Fax: (801) 812-5433

The NPI 1831674092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 10/3/2018 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant10990701-1206UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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