KYLE W ENGELBART CRNP
NPI 1356856421
Nurse Practitioner - Family in Bala Cynwyd, PA
About Kyle W Engelbart Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE W ENGELBART CRNP (NPI 1356856421) is an individual family provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP018278) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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 W Engelbart Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Engelbart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALA CYNWYD, PA 19004
BALA CYNWYD, PA 19004
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 Engelbart's NPI number?
The NPI number for Kyle Engelbart is 1356856421. It was assigned to this individual provider in the NPPES registry on December 11, 2017.
Where is Kyle Engelbart located?
Kyle Engelbart practices at 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004. The listed phone number is (215) 475-2279.
What is Kyle Engelbart's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kyle Engelbart enrolled in Medicare?
Yes. Kyle Engelbart 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 organizations bill Medicare for Kyle Engelbart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Engelbart reassigns Medicare benefits to 2 organizations: Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA) and Main Line Healthcare (Newtown Square, PA). Each 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 Engelbart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Engelbart was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kyle W Engelbart, CRNP · NPI 1356856421
Family physician in Bala Cynwyd, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 11, 2017.
## Identity
- **NPI:** 1356856421 (Entity type: Individual)
- **Enumerated:** December 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP018278 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 MONUMENT RD STE 600, Bala Cynwyd, PA 19004-1701
- **Phone:** (215) 475-2279 · **Fax:** (215) 893-5560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1790737468, Bala Cynwyd, PA); Main Line Healthcare (NPI 1922077643, Newtown Square, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356856421) · Data from the CMS NPPES public registry.