MR. KYLE F ROTONDO FNP-C
NPI 1629867973
Nurse Practitioner - Primary Care in Niles, MI
About Mr. Kyle F Rotondo Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KYLE F ROTONDO FNP-C (NPI 1629867973) is an individual primary care provider in Niles, Michigan, licensed in Michigan (4704401501) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2025).
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 and accepts Medicare assignment
Mr. Kyle F Rotondo Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Rotondo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 33 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49120 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rotondo's NPI number?
The NPI number for Kyle Rotondo is 1629867973. It was assigned to this individual provider in the NPPES registry on May 3, 2025.
Where is Kyle Rotondo located?
Kyle Rotondo practices at 1951 Oak St, Niles, MI 49120. The listed phone number is (269) 262-4749.
What is Kyle Rotondo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kyle Rotondo enrolled in Medicare?
Yes. Kyle Rotondo 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.
Which organization bills Medicare for Kyle Rotondo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Rotondo reassigns Medicare benefits to Lakeland Immediate Care Center (Niles, 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 Kyle Rotondo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Rotondo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kyle Rotondo 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 Rotondo affiliated with any hospitals?
According to CMS data, Kyle Rotondo is affiliated with Lakeland Hospital, St Joseph.
When was this NPI record last updated?
The NPPES record for Kyle Rotondo was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mr. Kyle F Rotondo, FNP-C · NPI 1629867973
Primary Care physician in Niles, Michigan. Individual provider, active in the CMS NPPES registry since May 3, 2025.
## Identity
- **NPI:** 1629867973 (Entity type: Individual)
- **Enumerated:** May 3, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704401501 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1951 OAK ST, Niles, MI 49120-3738
- **Phone:** (269) 262-4749 · **Fax:** (269) 262-4739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Immediate Care Center (NPI 1760802912, Niles, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629867973) · Data from the CMS NPPES public registry.