Kyle Ward, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mapleton, UT
NPI 1538035217 · NPPES record last updated Oct 11, 2025
Key facts
- NPI
- 1538035217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NA (UT)
- Practice address
- 1062 S Bowery Way
Mapleton, UT 84664-4460 - Phone
- (208) 243-4711
- NPI assigned
- Oct 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
138 E 12300
Unit 328
Draper, UT 84020-7965
138 E 12300
Unit 328
Draper, UT 84020-7976
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260116001684 | UT | Practitioner - Nurse Practitioner | 2567949852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Psychiatry and Behavioral | Single Specialty | Current |
Accepting new patients |
Locations
138 E 12300 S
Unit 328
Draper, UT 84020
Phone (801) 406-6256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | NA | UT | Yes |
Addresses
Primary practice location
1062 S Bowery Way
Mapleton, UT 84664-4460
Mailing address
1062 S Bowery Way
Mapleton, UT 84664-4460
Other providers in Mapleton, UT
- Dallin Hathaway Thueson
- Wendy Sue Turnbow
- Breanna F Upstill
- Utah Mental Health Advocates LLC
- Mary Jill Wall
- Richard Gary Watts
- Tanya Preston Westmoreland
- Monica Amy Wilkinson
- Tricia Whitaker Winder
- Troy Marie Young
All providers in Mapleton, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.