Active NPI
Benjamin R Kadas, APN
- Psychiatric/Mental Health Nurse Practitioner
- Providence, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12853376-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12853375-4405 | UT | MD | Nurse Practitioner |
| 3571695 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
| 58348 | WY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Utah Community Health Center | Current | Accepting new patients | |
| Health West, Inc. | Current | Accepting new patients | |
| Southwest Utah Community Health Center | Current | Accepting new patients | |
| Health West, Inc. | Current | Accepting new patients | |
| Health West, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- St George, UT
- NPI 1659358687
UT
-
- Federally Qualified Health Center (FQHC)
- Springdale, UT
- NPI 1275314528
-
- Clinic/Center
- Cedar City, UT
- NPI 1073988077
-
- Federally Qualified Health Center (FQHC)
- Hurricane, UT
- NPI 1780090944
-
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1740143882
-
- Internal Medicine Physician
- Gardnerville, NV
- NPI 1174708879
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.