Individual provider Active NPI

Benjamin R Kadas, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, UT
National Provider Identifier
1912975186
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12853376-4405 Issued in UT
Practice address
517 W 100 N Ste 110
Providence, UT 84332-9826
Phone
(435) 755-6075
Fax
(833) 448-2959
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58348 WY
Nurse Practitioner 363L00000X 12853375-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12853376-4405 UT Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3571695 ID

Addresses

Primary practice location

517 W 100 N Ste 110
Providence, UT 84332-9826

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 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
I20231019002266 UT Practitioner - Nurse Practitioner 1557305794 Reassigns benefits to 2 organizations
I20260312001348 WY Practitioner - Nurse Practitioner 1557305794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Utah Community Health CenterGroup PAC ID 5799692398, 28 clinicians

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12853375-4405UTMDNurse Practitioner
3571695IDMDPsychiatric/Mental Health Nurse Practitioner
58348WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince Sep 6, 2023 Accepting new patients
Health West, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Southwest Utah Community Health Center CurrentSince Sep 6, 2023 Accepting new patients
Health West, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Health West, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Carson Valley Medical Center Rural Health Clinic Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

500 S 11th Ave
Ste 400
Pocatello, ID 83201

5 W 200 N
Brigham City, UT 84302
Phone (435) 723-6033

391 N 200 W
Hurricane, UT 84737
Phone (435) 359-9525

1515 N 400 E
Ste 104
North Logan, UT 84341
Phone (435) 755-8424

517 W 100 N
Ste 110
Providence, UT 84332
Phone (435) 755-6075

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

75 Yellow Creek Rd
Ste 102
Evanston, WY 82930
Phone (307) 789-8290

2620 Commercial Way
Ste 140
Rock Springs, WY 82901
Phone (307) 212-4241

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1912975186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862",
            "fax_number": "833-448-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 110",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329826",
            "telephone_number": "435-755-6075",
            "fax_number": "833-448-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAS",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "58348",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "12853375-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "12853376-4405",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "3571695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.