KYLIE LASOTA
NPI 1689415184
Physician Assistant in Goodyear, AZ

Q: What is Kylie Lasota's NPI number?

The NPI number for Kylie Lasota is 1689415184. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Q: What is Kylie Lasota's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Lasota was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 06, 2024PECOS EnrolledAccepts Medicare Assignment

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Jan 21, 2026, Jun 6, 2024 (3 updates tracked since 2024).

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About Kylie Lasota NPPES

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

KYLIE LASOTA (NPI 1689415184) is an individual physician assistant in Goodyear, Arizona, licensed in Arizona (11418) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689415184

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYLIE LASOTA

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address13677 W Mcdowell RdGoodyear, AZ 85395-2635

Phone(623) 882-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 6, 2024

Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1689415184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 11418

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13677 W MCDOWELL RD, Goodyear, AZ 85395

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Secondary Practice Location 1

Location 12000 W Bethany Home RdPhoenix, AZ 85015-2443 · Phone (602) 249-0212

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

Kylie Lasota 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 ID8628556495

PECOS Enrollment IDI20260202003475

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 20

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

HOSPITAL DEVELOPMENT OF WEST PHOENIX INC

Internal Medicine (Cardiovascular Disease)