KYLE MERRITT
NPI 1689940934
Physician Assistant - Surgical in Lakeland, FL

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
1818 HARDEN BLVD, SUITE 120, LAKELAND, FL 33803(239) 278-1155(239) 278-1159 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Merritt NPPES

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

KYLE MERRITT (NPI 1689940934) is an individual surgical provider in Lakeland, Florida, licensed in Florida (PA9106424) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689940934
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKYLE MERRITT
Location Address1818 HARDEN BLVD, SUITE 120Lakeland, FL 33803-1812
Mailing Address1818 Harden Blvd, Suite 120Lakeland, FL 33803-1812 · (239) 278-1155 · Fax (239) 278-1159
Fax(239) 278-1159
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2012
NPI 1689940934 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 FL · PA9106424
1818 HARDEN BLVD, Lakeland, FL 33803

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

Kyle Merritt 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 ID5597928325
PECOS Enrollment IDI20120515000402
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 5

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

Behavior Technician
1818 HARDEN BLVD
LAKELAND, FL 33803
Behavior Technician
1818 HARDEN BLVD
LAKELAND, FL 33803
Pharmacy (Community/Retail Pharmacy)
1818 HARDEN BLVD, SUITE 150
LAKELAND, FL 33803
Clinic/Center (Primary Care)
1818 HARDEN BLVD, STE 120
LAKELAND, FL 33803
Speech-Language Pathologist
1818 HARDEN BLVD, SUITE 160
LAKELAND, FL 33803

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 Merritt's NPI number?

The NPI number for Kyle Merritt is 1689940934. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Kyle Merritt located?

Kyle Merritt practices at 1818 Harden Blvd Suite 120, Lakeland, FL 33803. The listed phone number is (239) 278-1155.

What is Kyle Merritt's specialty?

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

Is Kyle Merritt enrolled in Medicare?

Yes. Kyle Merritt 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.

When was this NPI record last updated?

The NPPES record for Kyle Merritt was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.