KYLE NISWONGER
NPI 1215329826
Specialist/Technologist - Athletic Trainer in Holland, MI

Q: What is Kyle Niswonger's NPI number?

The NPI number for Kyle Niswonger is 1215329826. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Q: What is Kyle Niswonger's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Niswonger was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 19, 2015Accepts Medicare Assignment

141 E 12TH ST, HOLLAND, MI 49423(248) 804-7447 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kyle Niswonger NPPES

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

KYLE NISWONGER (NPI 1215329826) is an individual athletic trainer provider in Holland, Michigan and active in the NPI registry since February 2015. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1215329826

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameKYLE NISWONGER

Location Address141 E 12TH STHolland, MI 49423-3607

Mailing Address2385 Millbrook CtRochester Hills, MI 48306-3144 · (248) 804-7447

Phone(248) 804-7447

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 19, 2015

Last NPPES UpdateMay 25, 2017

✔ NPI 1215329826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

141 E 12TH ST, Holland, MI 49423

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Niswonger 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 ID8325424757

PECOS Enrollment IDI20221007001306

Medicare Billing Reassignment

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

Ivyrehab Michigan, LLC

122 mi

Sports Medicine

400 ROUNDS DR
Fenton, MI 48430

Reassigned Medicare billing, Michigan enrollment
339 clinicians in this Medicare group

NPI 1104337120 (810) 750-1996

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 6

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

424 services47 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

276 services44 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

256 services33 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

220 services38 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

17 services17 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

13 services13 patients

Other Providers at the Same Location NPPES 3

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

GRIFFIN WEIGL

Student in an Organized Health Care Education/Training Program

141 E 12TH ST
HOLLAND, MI 49423

Allegan County (616) 395-7098

MADISON ROSKUSZKA

Specialist/Technologist (Athletic Trainer)

141 E 12TH ST, DEVOS FIELDHOUSE
HOLLAND, MI 49423

Allegan County (616) 395-7098

OLIVIA M HILL

Behavior Technician

141 E 12TH ST
HOLLAND, MI 49423

Allegan County (231) 907-7954

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 Niswonger's NPI number?

The NPI number for Kyle Niswonger is 1215329826. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Kyle Niswonger located?

Kyle Niswonger practices at 141 E 12th St, Holland, MI 49423. The listed phone number is (248) 804-7447.

What is Kyle Niswonger's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Kyle Niswonger enrolled in Medicare?

Yes. Kyle Niswonger 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 organization bills Medicare for Kyle Niswonger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Niswonger reassigns Medicare benefits to Ivyrehab Michigan, LLC (Fenton, MI). The 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 Niswonger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Niswonger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kyle Niswonger 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.

When was this NPI record last updated?

The NPPES record for Kyle Niswonger was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.