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KYLE J. SMISEK PA
NPI 1336653864
Physician Assistant - Surgical in Faribault, MN

Active since November 20, 2017PECOS EnrolledAccepts Medicare Assignment
1645 LYNDALE AVE N STE 103, FARIBAULT, MN 55021(507) 334-1601 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle J. Smisek Pa NPPES

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

KYLE J. SMISEK PA (NPI 1336653864) is an individual surgical provider in Faribault, Minnesota, licensed in Minnesota (12563) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Northfield Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336653864
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKYLE J. SMISEKCredential: PA
Location Address1645 LYNDALE AVE N STE 103Faribault, MN 55021-2935
Mailing Address704 Nevada StNorthfield, MN 55057-2600
Phone(507) 334-1601
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 20, 2017
✔ NPI 1336653864 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 MN · 12563
1645 LYNDALE AVE N STE 103, Faribault, MN 55021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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 J. Smisek 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 ID6800155359
PECOS Enrollment IDI20180109002075
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

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.
21 services13 patients

Hospital Affiliations CMS Care Compare

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

Northfield Hospital

Acute Care Hospitals · Northfield, MN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240014
Location2000 North AvenueNorthfield, MN 55057 · Rice County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

MR. BRADLEY ROBERT WILLE M.D.
Orthopaedic Surgery
1645 LYNDALE AVE N STE 103
FARIBAULT, MN 55021
Rice County (651) 968-5201
HANS CARL BENGTSON M.D.
Orthopaedic Surgery
1645 LYNDALE AVE N STE 103
FARIBAULT, MN 55021
Rice County (651) 968-5201
MRS. DEBRA MARY MCGUIRE LANG PA-C
Physician Assistant
1645 LYNDALE AVE N STE 103
FARIBAULT, MN 55021
Rice County (651) 968-5201
DR. ROBERT WARREN SHEPLEY M.D.
Orthopaedic Surgery
1645 LYNDALE AVE N STE 103
FARIBAULT, MN 55021
Rice County (651) 968-5201
MR. CLINTON ARTHUR MUENCH M.D.
Orthopaedic Surgery
1645 LYNDALE AVE N STE 103
FARIBAULT, MN 55021
Rice County (651) 968-5201

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 Smisek's NPI number?

The NPI number for Kyle Smisek is 1336653864. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Kyle Smisek located?

Kyle Smisek practices at 1645 Lyndale Ave N Ste 103, Faribault, MN 55021. The listed phone number is (507) 334-1601.

What is Kyle Smisek's specialty?

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

Is Kyle Smisek enrolled in Medicare?

Yes. Kyle Smisek 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 Smisek accept?

Health plans from HealthPartners and Medica list Kyle Smisek 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 Smisek affiliated with any hospitals?

According to CMS data, Kyle Smisek is affiliated with Northfield Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Smisek was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.