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KYLE MATTHEW RICKSTAD PA
NPI 1538564174
Physician Assistant - Surgical in Hyannis, MA

Active since October 24, 2014PECOS Enrolled
130 NORTH ST, CAPE COD ORTHOPAEDICS AND SPORTS MEDICINE, P.C., HYANNIS, MA 02601(508) 568-3761(508) 775-2352 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Matthew Rickstad Pa NPPES

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

KYLE MATTHEW RICKSTAD PA (NPI 1538564174) is an individual surgical provider in Hyannis, Massachusetts, licensed in Massachusetts (PA5210) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538564174
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKYLE MATTHEW RICKSTADCredential: PA
Location Address130 NORTH ST, CAPE COD ORTHOPAEDICS AND SPORTS MEDICINE, P.C.Hyannis, MA 02601-3825
Mailing Address130 North St, Cape Cod Orthopaedics And Sports Medicine, P.c.Hyannis, MA 02601-3825 · (508) 568-3761 · Fax (508) 775-2352
Phone(508) 568-3761
Fax(508) 775-2352
Sole ProprietorNo
Enumeration DateOctober 24, 2014
Last NPPES UpdateOctober 6, 2016
✔ NPI 1538564174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA5210
130 NORTH ST, Hyannis, MA 02601
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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)

Kyle Matthew Rickstad Pa 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.

MS. JOANNA LEIGH DALUZE PT
Physical Therapist
130 NORTH ST, LL
HYANNIS, MA 02601
Barnstable County (508) 771-9600
MS. SHARON J HALL PT CAS
Physical Therapist
130 NORTH ST, LOWER LEVEL
HYANNIS, MA 02601
Barnstable County (508) 771-9600
CAPE COD ORTHOPEDICS AND SPORTS MEDICINE PC
Orthopaedic Surgery
130 NORTH ST
HYANNIS, MA 02601
Barnstable County (508) 775-8282
MS. STEPHANIE ANNE NOEL PTA
Physical Therapy Assistant
130 NORTH ST, CAPE COD HOSPITAL REHAB CENTER
HYANNIS, MA 02601
Barnstable County (508) 771-9600
CELIA P RHODUS
Physical Medicine & Rehabilitation
130 NORTH ST
HYANNIS, MA 02601
Barnstable County (508) 775-8282
DR. CHRISTOPHER L BUTLER MD
Family Medicine
130 NORTH ST
HYANNIS, MA 02601
Barnstable County (508) 778-4777
MR. DEAN R SHERMAN PT,MPT,COMT,CEAS,VRT
Physical Therapist
130 NORTH ST, CAPE COD ORTHOPAEDICS PHYSICAL THERAPY (LOWER LEVEL)
HYANNIS, MA 02601
Barnstable County (508) 771-6685
AMANDA MEYER DPT
Physical Therapist
130 NORTH ST
HYANNIS, MA 02601
Barnstable County (508) 269-9336

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 Rickstad's NPI number?

The NPI number for Kyle Rickstad is 1538564174. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Kyle Rickstad located?

Kyle Rickstad practices at 130 North St Cape Cod Orthopaedics And Sports Medicine, P.C., Hyannis, MA 02601. The listed phone number is (508) 568-3761.

What is Kyle Rickstad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kyle Rickstad enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Rickstad was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.