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MR. KYLE F ROTONDO FNP-C
NPI 1629867973
Nurse Practitioner - Primary Care in Niles, MI

Active since May 03, 2025PECOS EnrolledAccepts Medicare Assignment
1951 OAK ST, NILES, MI 49120(269) 262-4749(269) 262-4739 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, May 24, 2025 (2 updates tracked since 2025).

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

NPI1629867973
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. KYLE F ROTONDOCredential: FNP-C
Location Address1951 OAK STNiles, MI 49120-3738
Mailing Address105 Moccasin StBuchanan, MI 49107-1218 · (312) 813-6643 · Fax (312) 813-6643
Phone(269) 262-4749
Fax(269) 262-4739
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 3, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1629867973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704401501
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 4704401501 (MI)
1951 OAK ST, Niles, MI 49120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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 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.

PECOS PAC ID1951807502
PECOS Enrollment IDI20251002000263
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.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 15

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

ELLIOT RICHARD ANDERSON PHARMD
Pharmacist
1951 OAK ST
NILES, MI 49120
Berrien County (269) 665-8900
MR. KEVIN MICHAEL KLIPOWICZ PHARMD
Pharmacist
1951 OAK ST
NILES, MI 49120
Berrien County (269) 665-8900
BRITTANY RACHEL NAULT FNP
Nurse Practitioner (Family)
1951 OAK ST
NILES, MI 49120
Berrien County (269) 262-4749
SAMANTHA PLANK DMD
Dentist (General Practice)
1951 OAK ST
NILES, MI 49120
Berrien County (269) 445-3874
MADISON RAE MICK DMD
Dentist (General Practice)
1951 OAK ST
NILES, MI 49120
Berrien County (269) 262-4749
LORI ANN MICHELLE PARTEE LMSW
Social Worker (Clinical)
1951 OAK ST
NILES, MI 49120
Berrien County (269) 665-8800
LAKELAND IMMEDIATE CARE CENTER
Pharmacy (Community/Retail Pharmacy)
1951 OAK ST
NILES, MI 49120
Berrien County (269) 262-4749
JOHN MOURAD ZAKHARY MD
Family Medicine
1951 OAK ST
NILES, MI 49120
Berrien County (269) 262-4749

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.

What insurance does Kyle Rotondo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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 11 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.