Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023905924 Individual Practitioner Male Practitioner

Ethan Prusse

Case Manager/Care Coordinator • Tooele, UT

Professional Overview & Biography Verified Profile Summary

Ethan Prusse is a registered healthcare professional specializing in Case Manager/Care Coordinator in Tooele, UT. Practice services are available at 100 S 1000 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 S 1000 W

Tooele, UT 840744010

Telephone 8889494864
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Tooele, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Tooele, UT (4472 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License UT F25-125714

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katalina Takuvaka

Behavior Technician

NPI 1003240342
NPI 1003358193
Alicia Vigil

Counselor

NPI 1003361445
Levi Ernest

Counselor

NPI 1003364001
Nicholas Mcdonald

Counselor - Mental Health

NPI 1003382110
Lacey Conner

Behavior Analyst

NPI 1003398579

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Case Manager/Care Coordinator (License #F25-125714 in UT)

NPI Profile Active June 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2025

Registered at 100 S 1000 W, TOOELE, UT 840744010 (Tel: 8889494864)

📍
Updated Business Mailing Address June 23, 2025

Registered at 3725 W 4100 S STE 201, WEST VALLEY CITY, UT 841206490

👤
Provider Name / Credentials Updated June 23, 2025

Recorded as ETHAN PRUSSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Community Health Worker (License #0 in UT)

🟢
Initial NPI Registration & Enumeration June 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023905924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2025
Last Update: July 02, 2026
Sole Proprietor: No

Mailing Address

3725 W 4100 S Ste 201

West Valley City, UT 841206490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.