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KYLER CHASE GASTINEAU DO
NPI 1366147225
Student in an Organized Health Care Education/Training Program in Tahlequah, OK

Active since March 31, 2023PECOS Enrolled
19600 E ROSS ST, TAHLEQUAH, OK 74464(501) 686-6627 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Mar 31, 2023 (2 updates tracked since 2023).

About Kyler Chase Gastineau Do NPPES

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

KYLER CHASE GASTINEAU DO (NPI 1366147225) is an individual student in an organized health care education/training program in Tahlequah, Oklahoma and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366147225
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLER CHASE GASTINEAUCredential: DO
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address6626 E Bold Springs RdMilburn, OK 73450-9685 · (580) 371-7120
Phone(501) 686-6627
Sole ProprietorYes
Enumeration DateMarch 31, 2023
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1366147225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19600 E ROSS ST, Tahlequah, OK 74464
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyler Chase Gastineau Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LINDSEY MICHELLE STROTHER PA
Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (919) 434-8500
DR. SARAH ANNE PEARSON DO
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 302-4172
ANN NGUYEN D.P.M
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
MIKAYLA JAMESON
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1900
THOMAS CRAIG BEEN DDS
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
KIMBERLY ANN WATSON NP-C
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
DESTINY SPRING DANIEL PHARM.D.
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
BRITTANY N HUGGINS
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000

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 Kyler Gastineau's NPI number?

The NPI number for Kyler Gastineau is 1366147225. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Kyler Gastineau located?

Kyler Gastineau practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (501) 686-6627.

What is Kyler Gastineau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyler Gastineau enrolled in Medicare?

Yes. Kyler Gastineau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyler Gastineau was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.