KYLEN LARUE PA-C
NPI 1699257576
Physician Assistant - Medical in Wilkes Barre, PA

Q: What is Kylen Larue's NPI number?

The NPI number for Kylen Larue is 1699257576. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Q: What is Kylen Larue's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kylen Larue was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 06, 2018PECOS EnrolledAccepts Medicare Assignment

1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7300 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jan 20, 2023, Sep 6, 2018 (3 updates tracked since 2018).

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About Kylen Larue Pa-c NPPES

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

KYLEN LARUE PA-C (NPI 1699257576) is an individual medical provider in Wilkes Barre, Pennsylvania and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mechanicsburg, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699257576

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameKYLEN LARUECredential: PA-C

Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027

Mailing Address139 Basin Hill RdDuncannon, PA 17020-9649 · (717) 756-6713

Phone(570) 808-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 6, 2018

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1699257576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Secondary Practice Location 1

Location 16481 Carlisle PikeMechanicsburg, PA 17050-2377 · Phone (717) 796-9355

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

Kylen Larue Pa-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 ID7810233004

PECOS Enrollment IDI20190109000406

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

145 services142 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

41 services39 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

39 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

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.

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