Nathan Kroegel, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12052515-4405 Issued in UT

Practice address

13552 S 110 W Ste 204
Draper, UT 84020-2403

Phone

(801) 432-0883

NPI assigned

Feb 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allred Psychological Services

  • Clinical Psychologist
  • Orem, UT
  • NPI 1720512270
  NPD (past)
• Kelly Wosnik Inc

  dba Bristol Health

  • Clinic/Center
  • Orem, UT
  • NPI 1346549060
  NPD (past)
• Sage Family Counseling, PLLC

  dba Draper Integrated Counseling and Wellness

  • Community/Behavioral Health Agency
  • Draper, UT
  • NPI 1992157622
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1811237514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13552 S 110 W STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202403",
            "telephone_number": "801-432-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 S 110 W STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202403",
            "telephone_number": "801-432-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6880 S McCarran Blvd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096129",
            "country_code": "US",
            "telephone_number": "775-393-9101",
            "fax_number": "775-403-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROEGEL",
        "first_name": "NATHAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001847",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "12052515-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811237514",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E Konopacke
• Jason T Koo, MD
• Victoria Kortesmaki
• Alysha Koster
• Pinky Kotwal, MD
• Dana Kroes, CSW
• Ummet Kucuksadic
• Danielle Kuresa
• William Austen Kurlander
• Jacie Kyle

• Psychiatric/Mental Health Nurse Practitioner in Draper, UT
• Providers in Draper, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.