MR. BENJAMIN R KADAS (APN) – Nurse Practitioner, NPI 1912975186

MR. BENJAMIN R KADAS (APN) is a healthcare provider. based in Pocatello, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 58348 (WY). The NPI Number for MR. BENJAMIN R KADAS (APN) is 1912975186

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. BENJAMIN R KADAS (APN)
NPI
1912975186
Phone
(208) 232-7862
Address
500 S 11TH AVE STE 400
Enumeration Date
14 March 2006
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4359862565
Graduation Year
2005 (21 years ago)
PAC ID
1557305794
Group Practice PAC ID
5799692398
Professional Enrollment ID
I20260312001348
Address ID
UT847902636ST2276XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:20State licenses:4Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MR. BENJAMIN R KADAS (APN)

  • 500 S 11TH AVE STE 400

    POCATELLO, ID 832014880

    Phone: (208) 232-7862

    Fax: (833) 448-2959

    Type: Mailing

  • 517 W 100 N STE 110

    PROVIDENCE, UT 843329826

    Phone: (435) 755-6075

    Fax: (833) 448-2959

    Type: Location

  • Carson Tahoe Specialty Medical Center, 775, Fleischmann Way, Carson City, Nevada, 89703, United States

    CARSON CITY, NV 897032995

    Phone: (775) 445-7756

    Type: Mailing

  • 627, Smithview Drive, Maryville, Blount County, Tennessee, 37803, United States

    MARYVILLE, TN 378036100

    Phone: (865) 380-4390

    Fax: (865) 380-4396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($145).

Total Amount

$467

General + Research + Ownership

Payments

25

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231019002266INurse PractitionerUTTBD
I20260312001348INurse PractitionerWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799692398View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
Family PracticeUT
Mental Health CounselorUT
Nurse PractitionerUT
Marriage And Family TherapistUT
Nurse PractitionerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Is MR. BENJAMIN R KADAS (APN) listed with a National Provider Identifier?
Yes — MR. BENJAMIN R KADAS (APN) has NPI 1912975186 on file in the registry.
Is there an active status for MR. BENJAMIN R KADAS (APN)?
For scheduling context, MR. BENJAMIN R KADAS (APN) is shown as active in the registry.
What kind of doctor is MR. BENJAMIN R KADAS (APN)?
MR. BENJAMIN R KADAS (APN) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. BENJAMIN R KADAS (APN)?
Directory geography for MR. BENJAMIN R KADAS (APN) centers on Pocatello, Idaho.
What does 4 location(s) imply?
4 practice locations appear in the available data.