KYLE ROBERT CHRISTOPHERSON MD
NPI 1184036105
Anesthesiology - Pain Medicine in Fruita, CO

Q: What is Kyle Christopherson's NPI number?

The NPI number for Kyle Christopherson is 1184036105. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Q: What is Kyle Christopherson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since May 26, 2014PECOS Enrolled

300 W OTTLEY AVE, FRUITA, CO 81521(970) 270-2259(970) 858-0798 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2019, May 18, 2018 (2 updates tracked since 2018).

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About Kyle Robert Christopherson Md NPPES

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

KYLE ROBERT CHRISTOPHERSON MD (NPI 1184036105) is an individual pain medicine provider in Fruita, Colorado, licensed in Colorado (62042) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2014).

NPPES Registry Identity

NPI1184036105

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameKYLE ROBERT CHRISTOPHERSONCredential: MD

Location Address300 W OTTLEY AVEFruita, CO 81521-2118

Mailing AddressPo Box 4433Grand Junction, CO 81502-4433 · (970) 254-1686 · Fax (970) 254-1687

Phone(970) 270-2259

Fax(970) 858-0798

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014

Enumeration DateMay 26, 2014

Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration

✔ NPI 1184036105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in CO · 62042

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

300 W OTTLEY AVE, Fruita, CO 81521

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Other Identifiers 1

Other1184036105Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Robert Christopherson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032467436

PECOS Enrollment IDI20190815000208

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 Reassignment

Medicare enrollment records show Kyle Christopherson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lower Valley Hospital Association

Same address

Critical Access

300 W OTTLEY AVE
Fruita, CO 81521

Reassigned Medicare billing, Colorado enrollment
Also billed through NPI 1346095098 (Colorado)
83 clinicians in this Medicare group

NPI 1861496697 (970) 858-3900

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

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 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.

23 services19 patients

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.

11 services11 patients

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.

ELIZABETH ANN MENSING MD

Family Medicine