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KYLE CLEASBY
NPI 1093375370
Student in an Organized Health Care Education/Training Program in Fargo, ND

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
1919 ELM ST N, FARGO, ND 58102(701) 293-4113(701) 293-4109 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Jun 18, 2019 (2 updates tracked since 2019).

About Kyle Cleasby NPPES

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

KYLE CLEASBY (NPI 1093375370) is an individual student in an organized health care education/training program in Fargo, North Dakota and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Dickinson, and maintains a secondary practice location in Dickinson.

NPPES Registry Identity

NPI1093375370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE CLEASBY
Location Address1919 ELM ST NFargo, ND 58102-2416
Mailing Address1463 I94 Business Loop EDickinson, ND 58601-6434 · (701) 227-7500
Phone(701) 293-4113
Fax(701) 293-4109
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1093375370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 18990 (ND)
1919 ELM ST N, Fargo, ND 58102
Open in Google Maps ↗

Secondary Practice Location 1

Location 11463 I94 Business Loop EDickinson, ND 58601-6434 · Phone (701) 227-7500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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 Cleasby 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 ID3173989522
PECOS Enrollment IDI20230510001235
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services34 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

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.

JOSHUA WILKE MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
DR. TEENA PERVAIZ MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4109
HECTOR CABALLERO MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (813) 352-8003
SAMUEL GEIGER TESCH MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 294-4113
AARON HIGGINS MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
DR. SUSHIL KUMAR SOMPUR VASANTHKUMAR M.D.
Psychiatry & Neurology (Psychiatry)
1919 ELM ST N, DEPARTMENT OF CLINICAL NEUROSCIENCE
FARGO, ND 58102
Cass County (701) 293-4101
DR. SAVANNAH LAURENT SEITER MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
DR. LUKE THOMAS MIKE DO
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113

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 Cleasby's NPI number?

The NPI number for Kyle Cleasby is 1093375370. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Kyle Cleasby located?

Kyle Cleasby practices at 1919 Elm St N, Fargo, ND 58102. The listed phone number is (701) 293-4113.

What is Kyle Cleasby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Cleasby enrolled in Medicare?

Yes. Kyle Cleasby 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.

What insurance does Kyle Cleasby accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kyle Cleasby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Cleasby affiliated with any hospitals?

According to CMS data, Kyle Cleasby is affiliated with Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for Kyle Cleasby was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.