Kelsey Bywater, FNP
Individual provider Active NPI Family Nurse Practitioner · Brigham City, UT
NPI 1629508403 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1629508403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 337245-3102 (UT)
- Practice address
- 1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293 - Phone
- (435) 723-5248
- Fax
- (435) 723-5240
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Arts Center Clinic of Brigham City Inc
Practice addresses (Care Compare)
1041 S Medical Dr
Suite 200
Brigham City, UT 84302-3293
Phone (435) 723-5248
Hospital & facility affiliations
- Symbii Home Health Bear River
- Community Nursing Services
- Brigham City Community Hospital
- Bear River Valley Hospital
- Intermountain Health McKay-Dee Hospital
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 |
|---|---|---|---|---|
| I20170724002173 | UT | Practitioner - Nurse Practitioner | 6204106230 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear River Medical Arts PC | Single Specialty | Current |
Accepting new patients |
| Canyon Healthcare, Inc. | Single Specialty | Current |
Accepting new patients |
| Medical Arts Center Clinic of Brigham City Inc | Single Specialty | Current |
Accepting new patients |
Locations
984 Medical Dr
Ste 1
Brigham City, UT 84302
Phone (435) 723-5248
1041 S Medical Dr
Ste 200
Brigham City, UT 84302
Phone (435) 723-5248
300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469
1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221
Interoperability endpoints
- kelsey.bywater.1@24655.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337245-3102 | UT | Yes |
Addresses
Primary practice location
1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Mailing address
1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone (435) 723-5248
Other providers in Brigham City, UT
- Miranda Buttars
- Hayley Butterfield
- Jacob Bybee
- Graydee Byrne
- Chelsea Bywater
- C and C Pharmacies Inc
- C and C Pharmacies Inc
- Amber Linn Cagle
- Celeste Caldwell
- Lotti Caldwell
All providers in Brigham City, UT · Family 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 Jun 16, 2026. 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.