KYLE LEWIS PA-C
NPI 1457741688
Physician Assistant - Medical in Puyallup, WA

Active since January 26, 2015PECOS Enrolled
11216 SUNRISE BLVD E, STE 3-207, PUYALLUP, WA 98374(253) 770-3700(253) 435-7019 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle Lewis Pa-c NPPES

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

KYLE LEWIS PA-C (NPI 1457741688) is an individual medical provider in Puyallup, Washington, licensed in Washington (PA60520595) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457741688
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKYLE LEWISCredential: PA-C
Location Address11216 SUNRISE BLVD E, STE 3-207Puyallup, WA 98374-8848
Mailing Address3209 S 23rd St, Ste 340Tacoma, WA 98405-1602 · (253) 503-2598 · Fax (253) 404-0506
Fax(253) 435-7019
Sole ProprietorNo
Enumeration DateJanuary 26, 2015
Last NPPES UpdateSeptember 29, 2015
NPI 1457741688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA60520595
11216 SUNRISE BLVD E, Puyallup, WA 98374

Other Identifiers 3

Medicare PING8937498WA
Medicaid2042164WA
Medicare PING8937499WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Lewis Pa-c 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.

Massage Therapist
11216 SUNRISE BLVD E
PUYALLUP, WA 98374
Durable Medical Equipment & Medical Supplies
11216 SUNRISE BLVD E, #3-209
PUYALLUP, WA 98374
Massage Therapist
11216 SUNRISE BLVD E, SUITE 3-108
PUYALLUP, WA 98374
Family Medicine
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Nurse Practitioner
11216 SUNRISE BLVD E, STE 3-207
PUYALLUP, WA 98374
Physician Assistant
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Family Medicine
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Family Medicine
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374

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 Lewis's NPI number?

The NPI number for Kyle Lewis is 1457741688. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Kyle Lewis located?

Kyle Lewis practices at 11216 Sunrise Blvd E Ste 3-207, Puyallup, WA 98374. The listed phone number is (253) 770-3700.

What is Kyle Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kyle Lewis enrolled in Medicare?

Yes. Kyle Lewis is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Lewis accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kyle Lewis 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 Kyle Lewis was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.