KYLE KRUPA
NPI 1003218496
Nurse Anesthetist, Certified Registered in Detroit, MI

Q: What is Kyle Krupa's NPI number?

The NPI number for Kyle Krupa is 1003218496. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Q: What is Kyle Krupa's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Krupa was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2014Accepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kyle Krupa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE KRUPA (NPI 1003218496) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704276038) and active in the NPI registry since September 2014. He maintains a secondary practice location in Flint and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003218496

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKYLE KRUPA

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(313) 916-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 17, 2014

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1003218496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704276038

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 11 Hurley PlzFlint, MI 48503-5902 · Phone (810) 262-9967 · Fax (810) 262-9610

Other Identifiers 1

Other4704276038MI · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Krupa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749400828

PECOS Enrollment IDI20141014000214

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital