KYLE MICHAEL ANDERSON CRNA
NPI 1205580313
Nurse Anesthetist, Certified Registered in Green Bay, WI
About Kyle Michael Anderson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE MICHAEL ANDERSON CRNA (NPI 1205580313) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (162603) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Michael Anderson Crna 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kyle Anderson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 clinicians in this Medicare group
Fox Point, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Winona, MN 55987
- Reassigned Medicare billing, Minnesota enrollment
- 330 clinicians in this Medicare group
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 483 clinicians in this Medicare group
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 394 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNUpmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PABellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIGundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GREEN BAY, WI 54301
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 Anderson's NPI number?
The NPI number for Kyle Anderson is 1205580313. It was assigned to this individual provider in the NPPES registry on February 8, 2022.
Where is Kyle Anderson located?
Kyle Anderson practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (715) 495-4001.
What is Kyle Anderson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kyle Anderson enrolled in Medicare?
Yes. Kyle Anderson 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 Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Anderson reassigns Medicare benefits to 7 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI), Gundersen Lutheran Medical Center Inc (Fox Point, WI), Winona Health Services (Winona, MN), Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN) and 2 more organizations, listed in the Medicare section above. 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Anderson accept?
Health plans from CareSource (Common Ground Healthcare) list Kyle Anderson 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 Anderson affiliated with any hospitals?
According to CMS data, Kyle Anderson is affiliated with Abbott Northwestern Hospital, Upmc Pinnacle Hospitals, Bellin Memorial Hospital and Gundersen Lutheran Medical Center.
When was this NPI record last updated?
The NPPES record for Kyle Anderson was last updated on August 7, 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.
# Kyle Michael Anderson, CRNA · NPI 1205580313
Nurse Anesthetist, Certified Registered physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1205580313 (Entity type: Individual)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 162603 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 S WEBSTER AVE, Green Bay, WI 54301-3505
- **Phone:** (715) 495-4001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Bellin Memorial Hospital Inc (NPI 1033172390, Green Bay, WI); Oconto Hospital & Medical Center Inc (NPI 1053279091, Kewaunee, WI); Gundersen Lutheran Medical Center Inc (NPI 1053090456, Fox Point, WI); Winona Health Services (NPI 1295789352, Winona, MN); Saint Elizabeths Hospital Of Wabasha Inc (NPI 1053346825, Wabasha, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1205580313) · Data from the CMS NPPES public registry.