Individual provider Active NPI

Kasey L Ward, NP

  • Family Nurse Practitioner
  • Montpelier, ID
National Provider Identifier
1609504356
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
72880 Issued in ID
Practice address
164 S 5TH St
Montpelier, ID 83254-1597
Phone
(208) 847-1630
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13835971-4405 UT
Family Nurse Practitioner 363LF0000X 72880 ID Primary

Addresses

Primary practice location

164 S 5TH St
Montpelier, ID 83254-1597

Mailing address

164 S 5TH St
Montpelier, ID 83254-1597
Phone (208) 847-1630

Other practice location 1

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230504000163 ID Practitioner - Nurse Practitioner 8022473602 Reassigns benefits to 1 organization
I20250320001935 UT Practitioner - Nurse Practitioner 8022473602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Lake County Memorial HospitalGroup PAC ID 5395799860, 31 clinicians

Practice addresses (Care Compare)

164 S
5TH
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

Hospital & facility affiliations

  • Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13835971-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

Interoperability endpoints

  • Direct secure messaging: kward620144@direct.ochin.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1609504356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541597",
            "telephone_number": "208-847-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541597",
            "telephone_number": "208-847-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 S Paradise Pkwy",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "UT",
            "postal_code": "840287909",
            "country_code": "US",
            "telephone_number": "435-255-1630",
            "fax_number": "435-946-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "KASEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13835971-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "72880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, ID

Sources for this page

Verify at the official NPI Registry.