KYLIE PERREAULT DO
NPI 1396365425
Otolaryngology in Grand Rapids, MI
About Kylie Perreault Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE PERREAULT DO (NPI 1396365425) is an individual otolaryngology provider in Grand Rapids, Michigan, licensed in Michigan (5101029486) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kylie Perreault Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kylie Perreault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49546
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 Kylie Perreault's NPI number?
The NPI number for Kylie Perreault is 1396365425. It was assigned to this individual provider in the NPPES registry on April 18, 2020.
Where is Kylie Perreault located?
Kylie Perreault practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7758.
What is Kylie Perreault's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Kylie Perreault enrolled in Medicare?
Yes. Kylie Perreault is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kylie Perreault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Perreault reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Kylie Perreault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kylie Perreault accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kylie Perreault 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.
When was this NPI record last updated?
The NPPES record for Kylie Perreault was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.
# Kylie Perreault, DO · NPI 1396365425
Otolaryngology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2020.
## Identity
- **NPI:** 1396365425 (Entity type: Individual)
- **Enumerated:** April 18, 2020
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 5101029486 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4069 LAKE DR SE STE 315, Grand Rapids, MI 49546-8816
- **Phone:** (616) 267-7758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1043655780, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396365425) · Data from the CMS NPPES public registry.