KYLE CHAN FNP
NPI 1477197911
Nurse Practitioner - Family in San Antonio, TX

Q: What is Kyle Chan's NPI number?

The NPI number for Kyle Chan is 1477197911. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Kyle Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Chan was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 28, 2019PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR FL 10, SAN ANTONIO, TX 78229(210) 743-0670(210) 567-4659 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2020, Oct 28, 2019 (2 updates tracked since 2019).

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About Kyle Chan Fnp NPPES

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

KYLE CHAN FNP (NPI 1477197911) is an individual family provider in San Antonio, Texas, licensed in Texas (AP140523) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477197911

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKYLE CHANCredential: FNP

Location Address4502 MEDICAL DR FL 10San Antonio, TX 78229-4402

Mailing Address4502 Medical Dr Fl 10San Antonio, TX 78229-4402 · (210) 743-0670 · Fax (210) 567-4659

Phone(210) 743-0670

Fax(210) 567-4659

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 28, 2019

Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration

✔ NPI 1477197911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP140523

4502 MEDICAL DR FL 10, San Antonio, TX 78229

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Other Identifiers 2

Other405251602TX · Cshcn

Medicaid405251601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Chan Fnp 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.

PECOS PAC ID4082047733

PECOS Enrollment IDI20191210002966

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZZA B HERNANDEZ PNP

Nurse Practitioner (Pediatrics)