MR. KYLE PAUL BLOMGREN DO
NPI 1578021895
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since March 05, 2019PECOS EnrolledAccepts Medicare Assignment
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Mar 5, 2019 (2 updates tracked since 2019).

About Mr. Kyle Paul Blomgren Do NPPES

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

MR. KYLE PAUL BLOMGREN DO (NPI 1578021895) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2021).

NPPES Registry Identity

NPI1578021895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KYLE PAUL BLOMGRENCredential: DO
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-4000
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2021
Enumeration DateMarch 5, 2019
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1578021895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1638 OWEN DR, Fayetteville, NC 28304

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 and accepts Medicare assignment

Mr. Kyle Paul Blomgren Do 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 ID5294138780
PECOS Enrollment IDI20260916002783
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 4

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Betsy Johnson Regional Hospital

Acute Care Hospitals · Dunn, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340071
Location800 Tilghman DrDunn, NC 28334 · Harnett County
Emergency services

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Cape Fear Valley-Bladen County Hospital

Critical Access Hospitals · Elizabethtown, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341315
Location501 South Poplar StreetElizabethtown, NC 28337 · Bladen County
Emergency services

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.

Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304

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 Blomgren's NPI number?

The NPI number for Kyle Blomgren is 1578021895. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Kyle Blomgren located?

Kyle Blomgren practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.

What is Kyle Blomgren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Blomgren enrolled in Medicare?

Yes. Kyle Blomgren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Blomgren accept?

Health plans from Cigna Healthcare list Kyle Blomgren 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.

Is Kyle Blomgren affiliated with any hospitals?

According to CMS data, Kyle Blomgren is affiliated with Cape Fear Valley Medical Center, Betsy Johnson Regional Hospital, Randolph Hospital and Cape Fear Valley-Bladen County Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Blomgren was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.