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KYLE JOHN LAMBERT APRN, FNP-BC
NPI 1225608490
Nurse Practitioner - Family in Rehoboth Beach, DE

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
18947 JOHN J WILLIAMS HWY UNIT 213, REHOBOTH BEACH, DE 19971(302) 600-1124 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2021, Jul 3, 2021 (2 updates tracked since 2021).

About Kyle John Lambert Aprn, Fnp-bc NPPES

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

KYLE JOHN LAMBERT APRN, FNP-BC (NPI 1225608490) is an individual family provider in Rehoboth Beach, Delaware, licensed in Delaware (LG-0011674) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225608490
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKYLE JOHN LAMBERTCredential: APRN, FNP-BC
Location Address18947 JOHN J WILLIAMS HWY UNIT 213Rehoboth Beach, DE 19971-4476
Mailing AddressPo Box 2011Greenwood, DE 19950-0601 · (302) 381-4617
Phone(302) 600-1124
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1225608490 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 DE · LG-0011674
18947 JOHN J WILLIAMS HWY UNIT 213, Rehoboth Beach, DE 19971
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1261 Chapman Rd Ste 100Newark, DE 19702-5426 · Phone (302) 600-1124
Location 220930 DuPont BlvdGeorgetown, DE 19947-1725 · Phone (302) 856-3737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 John Lambert Aprn, Fnp-bc 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 ID8325430028
PECOS Enrollment IDI20220107002041
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
454 services375 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.
405 services328 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
392 services348 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
190 services190 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
153 services137 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers33 claims33 services$38.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers21 claims21 services$89.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims53 services$33.85 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers36 claims183 services$19.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers43 claims43 services$57.51 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers44 claims44 services$18.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

HANNAH G WHIDDON
Social Worker (Clinical)
18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH, DE 19971
Sussex County (240) 401-0994
HANNAH G WHIDDON LCSW
Social Worker (Clinical)
18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH, DE 19971
Sussex County (302) 643-9553
CASSIDY ANNAMARIE BAUER
Counselor (Mental Health)
18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH, DE 19971
Sussex County (706) 589-8237
LARISSA TRELLES LPCMH, NCC
Counselor (Professional)
18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH, DE 19971
Sussex County (302) 827-3863

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 Lambert's NPI number?

The NPI number for Kyle Lambert is 1225608490. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Kyle Lambert located?

Kyle Lambert practices at 18947 John J Williams Hwy Unit 213, Rehoboth Beach, DE 19971. The listed phone number is (302) 600-1124.

What is Kyle Lambert's specialty?

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

Is Kyle Lambert enrolled in Medicare?

Yes. Kyle Lambert 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 Lambert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Kyle Lambert 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 Lambert was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.