Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KYLE J HAVERCROFT PA-C
NPI 1700063344
Physician Assistant - Surgical in Coeur D Alene, ID

Active since January 25, 2008PECOS Enrolled
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814(208) 664-2175(208) 664-1226 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Oct 20, 2016, Sep 14, 2016 and 2 more (5 updates tracked since 2015).

About Mr. Kyle J Havercroft Pa-c NPPES

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

MR. KYLE J HAVERCROFT PA-C (NPI 1700063344) is an individual surgical provider in Coeur D Alene, Idaho, licensed in Idaho (PA-1313) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700063344
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KYLE J HAVERCROFTCredential: PA-C
Location Address850 W IRONWOOD DR STE 202Coeur D Alene, ID 83814-4903
Mailing Address850 W Ironwood Dr Ste 202Coeur D Alene, ID 83814-4903 · (208) 664-2175 · Fax (208) 664-1226
Fax(208) 664-1226
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 25, 2008
Last NPPES UpdateJuly 21, 20265 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1700063344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in ID · PA-1313
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-1313 (ID)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-1313 (ID)
850 W IRONWOOD DR STE 202, Coeur D Alene, ID 83814

Other Identifiers 1

Other1083729438Linked To Ossm Organization

Accepted 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 J Havercroft 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 ID5799095683
PECOS Enrollment IDI20151104003005
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
228 services34 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.
137 services114 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
85 services63 patients
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.
68 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
51 services27 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID
OwnershipGovernment - Local
CMS Certification Number131317
Location229 South 7th StreetSt Maries, ID 83861 · Benewah County
Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Orthopaedic Surgery
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Physician Assistant
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Orthopaedic Surgery
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Specialist
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Physician Assistant (Surgical)
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Orthopaedic Surgery
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814
Nurse Practitioner
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814

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 Havercroft's NPI number?

The NPI number for Kyle Havercroft is 1700063344. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Kyle Havercroft located?

Kyle Havercroft practices at 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814. The listed phone number is (208) 664-2175.

What is Kyle Havercroft's specialty?

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

Is Kyle Havercroft enrolled in Medicare?

Yes. Kyle Havercroft 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 Havercroft accept?

Health plans from PacificSource Health Plans, Providence Health Plan and Select Health list Kyle Havercroft 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 Havercroft affiliated with any hospitals?

According to CMS data, Kyle Havercroft is affiliated with Kootenai Health, Northwest Specialty Hospital, Benewah Community Hospital and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Havercroft was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.