KYLE LANCE HOLSTED PA
NPI 1306409818
Physician Assistant - Surgical in Lebanon, NH

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
76.01/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, DEPARTMENT OF SURGERY, LEBANON, NH 03756(603) 650-8537 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2019, Jun 12, 2019, Apr 19, 2019 (3 updates tracked since 2019).

About Kyle Lance Holsted Pa NPPES

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

KYLE LANCE HOLSTED PA (NPI 1306409818) is an individual surgical provider in Lebanon, New Hampshire, licensed in New Hampshire (1492) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306409818
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKYLE LANCE HOLSTEDCredential: PA
Location Address1 MEDICAL CENTER DRIVE, DEPARTMENT OF SURGERYLebanon, NH 03756-0001
Mailing Address1 Medical Center Drive, Department Of SurgeryLebanon, NH 03756-0001 · (603) 650-8537
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 19, 2019
Last NPPES UpdateSeptember 5, 20193 updates tracked since enumeration
NPI 1306409818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NH · 1492
1 MEDICAL CENTER DRIVE, Lebanon, NH 03756

Accepted 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 Lance Holsted Pa 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 ID7113258203
PECOS Enrollment IDI20191003001120
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.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

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.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Psychiatry & Neurology (Psychiatry)
1 MEDICAL CENTER DRIVE
LEBANON, NH 03756
Anesthesiology (Pain Medicine)
1 MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK-ANESTHESIOLOGY & PAIN MEDICINE
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DRIVE
LEBANON, NH 03756
Emergency Medicine
1 MEDICAL CENTER DRIVE, DARTMOUTH HITHCOCK MEDICAL CENTER
LEBANON, NH 03756
Pharmacist
1 MEDICAL CENTER DRIVE
LEBANON, NH 03756
Emergency Medicine
1 MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
Clinic/Center (Sleep Disorder Diagnostic)
1 MEDICAL CENTER DRIVE
LEBANON, NH 03756
Registered Nurse
1 MEDICAL CENTER DRIVE
LEBANON, NH 03756

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 Holsted's NPI number?

The NPI number for Kyle Holsted is 1306409818. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Kyle Holsted located?

Kyle Holsted practices at 1 Medical Center Drive Department Of Surgery, Lebanon, NH 03756. The listed phone number is (603) 650-8537.

What is Kyle Holsted's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kyle Holsted enrolled in Medicare?

Yes. Kyle Holsted 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 Holsted accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kyle Holsted 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 Holsted affiliated with any hospitals?

According to CMS data, Kyle Holsted is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Holsted was last updated on September 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.