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KYLE ROBERT ELLIOTT NP
NPI 1023478146
Nurse Practitioner in Saint James, MN

Active since March 02, 2016PECOS EnrolledAccepts Medicare Assignment
1101 MOULTON AND PARSONS DR, SAINT JAMES, MN 56081(507) 375-3261 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2020, Feb 15, 2017, Mar 2, 2016 (3 updates tracked since 2016).

About Kyle Robert Elliott Np NPPES

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

KYLE ROBERT ELLIOTT NP (NPI 1023478146) is an individual nurse practitioner in Saint James, Minnesota, licensed in Minnesota (CNP 4392) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System St. James, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1023478146
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKYLE ROBERT ELLIOTTCredential: NP
Location Address1101 MOULTON AND PARSONS DRSaint James, MN 56081-5550
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Phone(507) 375-3261
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2016
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1023478146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · CNP 4392
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 6832-33 (WI), CNP 4392 (MN)
1101 MOULTON AND PARSONS DR, Saint James, MN 56081
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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Robert Elliott Np 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 ID1951685395
PECOS Enrollment IDI20170301002718
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kyle Elliott reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-St James
Same address
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Fairmont
25 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-Southwest Minnesota Region
33 mi
Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1578545422 (507) 625-4031
Mayo Clinic Health System-Southeast Minnesota Region
66 mi
Multi-Specialty
404 W FOUNTAIN ST
Albert Lea, MN 56007
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1891701637 (507) 373-2384
Mayo Clinic Health System-Lake City
120 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241345
Location501 North State StreetWaseca, MN 56093 · Waseca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56081 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

MARIA SUZANNE KRUSEMARK
Speech-Language Pathologist
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (413) 786-8000
CINDA LOU WALLACE NP
Nurse Practitioner (Family)
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3261
MAYO CLINIC HEALTH SYSTEM-ST JAMES
Clinic/Center (Multi-Specialty)
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3261
AYAN HASHI
Family Medicine
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3391
MIKAL JOSEPH MIKKELSON PA-C
Physician Assistant
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3391
LORI ANN SODEMAN LICSW
Social Worker (Clinical)
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3261
MAYO CLINIC HEALTH SYSTEM-ST JAMES
Non-Pharmacy Dispensing Site
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (952) 653-2528
PAIGE MARIE GERNES-SANCHEZ MORALES PA-C
Physician Assistant
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081
Watonwan County (507) 375-3391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Elliott's NPI number?

The NPI number for Kyle Elliott is 1023478146. It was assigned to this individual provider in the NPPES registry on March 2, 2016.

Where is Kyle Elliott located?

Kyle Elliott practices at 1101 Moulton And Parsons Dr, Saint James, MN 56081. The listed phone number is (507) 375-3261.

What is Kyle Elliott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kyle Elliott enrolled in Medicare?

Yes. Kyle Elliott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Elliott reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-St James (Saint James, MN), Mayo Clinic Health System-Fairmont (Fairmont, MN), Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Mayo Clinic Health System-Southeast Minnesota Region (Albert Lea, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Elliott affiliated with any hospitals?

According to CMS data, Kyle Elliott is affiliated with Mayo Clinic Health System St. James and Mayo Clinic Health System - Waseca.

When was this NPI record last updated?

The NPPES record for Kyle Elliott was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.