Kelsie Balmforth, - Nurse Practitioner in Provo, UT

Kelsie Balmforth, is a Nurse Practitioner - Psychiatric/mental Health based in Provo, Utah. Kelsie Balmforth is licensed to practice in Utah (license number 8602341-4405) and her current practice location is 750 N Freedom Blvd, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 373-4760.

NPI number for Kelsie Balmforth is 1538698550 and her current mailing address is 1152 E 350 N, Orem, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538698550.

Contact Information

Kelsie Balmforth,
750 N Freedom Blvd,
Provo, UT 84601-1677
(801) 373-4760
(801) 373-0639

Map and Direction




Provider's Profile

Full NameKelsie Balmforth
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location750 N Freedom Blvd, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538698550
  • Provider Enumeration Date: 06/05/2017
  • Last Update Date: 09/04/2019

Medical Identifiers

Medical identifiers for Kelsie Balmforth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538698550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 8602341-4405 (Utah)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsie Balmforth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsie Balmforth,
1152 E 350 N,
Orem, UT 84097-5032

Ph: () -
Kelsie Balmforth,
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 373-4760

Reviews and Comments


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