Active NPI
Casey Forrest Powell, DNP, FNP-BC
- Family Nurse Practitioner
- St George, UT
National Provider Identifier
1144004904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12050251-4405
- Practice address
- 1173 S 250 W Ste 503
St George, UT 84770-7190 - Phone
- (435) 674-0217
- NPI assigned
- Aug 22, 2023
- Last updated
- Mar 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12050251-4405 | UT | Primary |
| Registered Nurse | 163W00000X | 73527 | ID |
Addresses
Primary practice location
1173 S 250 W Ste 503
St George, UT 84770-7190
Mailing address
2403 E 80 North Cir
St George, UT 84790-5468
Phone (503) 209-6799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73527 | ID | MD | Registered Nurse |
| 12050251-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ageless Men's Health Holdings, Inc | Past | Accepting new patients | |
| Amh Series II Ut, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ageless Men's Health
- Primary Care Clinic/Center
- St George, UT
- NPI 1639785710
-
dba Ageless Men's Health
- Physician Assistant
- Austin, TX
- NPI 1386923597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1144004904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 E 80 NORTH CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847905468",
"telephone_number": "503-209-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 S 250 W STE 503",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707190",
"telephone_number": "435-674-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "CASEY",
"middle_name": "FORREST",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-22",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "12050251-4405",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "73527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.