Benjamin Ballard, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Provo, UT
NPI 1982307534 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1982307534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 12187209-4405 (UT)
- Practice address
- 145 W 200 N
Provo, UT 84601-3012 - Phone
- (801) 821-2781
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
145 W 200
Suite 600
Provo, UT 84601-3016
3300 N Triumph Blvd
Suite 500
Lehi, UT 84043-6475
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12187209-3102 | UT | MD | Registered Nurse |
| 12187209-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity TMS Centers LLC | Current |
Accepting new patients | |
| Ascent Mental Health PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333
145 W 200 N
Ste 600
Provo, UT 84601
Phone (801) 675-4501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 12187209-3102 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12187209-4405 | UT | Yes |
| Registered Nurse | 163W00000X | 12187209-3102 | UT |
Addresses
Primary practice location
145 W 200 N
Provo, UT 84601-3012
Mailing address
145 W 200 N
Provo, UT 84601-3012
Phone (801) 821-2781
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other practice location 2
822 S 1040 W
Payson, UT 84651-4614
Phone (801) 609-2448
Other practice location 3
6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331
Phone (801) 821-2781
Other practice location 4
3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone (801) 821-2781
Other practice location 5
2132 N Robins Dr Ste 300
Layton, UT 84041-7077
Phone (801) 821-2781
Other providers in Provo, UT
- Tessa Baldauf
- Alison Baldwin
- Scott A Baldwin
- John Harold Ball
- Kathleen Elizabeth Ball
- Elizabeth Anne Balle
- George Anthony Ballew
- Acacia Marie Ballif
- Kelsie Balmforth
- Tori Nicole Balser
All providers in Provo, UT · Psychiatric/Mental Health 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 9, 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.