Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE KIMBALL
NPI 1215892302
Nurse Practitioner - Family in Las Vegas, NV

Active since December 19, 2025PECOS EnrolledAccepts Medicare Assignment
1900 E DESERT INN RD STE 5, LAS VEGAS, NV 89169(702) 961-7552 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 3, 2026, Dec 19, 2025 (2 updates tracked since 2025).

About Kyle Kimball NPPES

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

KYLE KIMBALL (NPI 1215892302) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (821408) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215892302
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKYLE KIMBALL
Location Address1900 E DESERT INN RD STE 5Las Vegas, NV 89169-3211
Mailing Address1900 E Desert Inn Rd Ste 5Las Vegas, NV 89169-3211 · (702) 961-7552
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 19, 2025
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
NPI 1215892302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NV · 821408
1900 E DESERT INN RD STE 5, Las Vegas, NV 89169

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 Kimball 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 ID6305319286
PECOS Enrollment IDI20260623000611
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.

Hospital Affiliations CMS Care Compare

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Kimball's NPI number?

The NPI number for Kyle Kimball is 1215892302. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Kyle Kimball located?

Kyle Kimball practices at 1900 E Desert Inn Rd Ste 5, Las Vegas, NV 89169. The listed phone number is (702) 961-7552.

What is Kyle Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kyle Kimball enrolled in Medicare?

Yes. Kyle Kimball 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.

Is Kyle Kimball affiliated with any hospitals?

According to CMS data, Kyle Kimball is affiliated with Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Kimball was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.