KYLE NELSON
NPI 1386190064
Occupational Therapist in Woodbury, MN
About Kyle Nelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE NELSON (NPI 1386190064) is an individual occupational therapist in Woodbury, Minnesota, licensed in Minnesota (105169) and active in the NPI registry since August 2016.
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 (PECOS)
Kyle Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 59 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBURY, MN 55125
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 Nelson's NPI number?
The NPI number for Kyle Nelson is 1386190064. It was assigned to this individual provider in the NPPES registry on August 31, 2016.
Where is Kyle Nelson located?
Kyle Nelson practices at 2101 Wooddale Dr Suite A, Woodbury, MN 55125. The listed phone number is (651) 738-9888.
What is Kyle Nelson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kyle Nelson enrolled in Medicare?
Yes. Kyle Nelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Nelson reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, MN). The 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 Nelson'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 Nelson was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.