KYLIE NICOLE STREET PA-C
NPI 1700368081
Physician Assistant - Medical in Anchorage, AK

Q: What is Kylie Street's NPI number?

The NPI number for Kylie Street is 1700368081. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Q: What is Kylie Street'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 Kylie Street was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 03, 2018PECOS EnrolledAccepts Medicare Assignment

71.25/100

CMS Quality Rating

3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508(907) 562-2277(907) 563-3460 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2019, Aug 21, 2019, Sep 3, 2018 (3 updates tracked since 2018).

On this page

About Kylie Nicole Street Pa-c NPPES

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

KYLIE NICOLE STREET PA-C (NPI 1700368081) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (151658) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Anchorage, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700368081

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKYLIE NICOLE STREETCredential: PA-C

Location Address3801 LAKE OTIS PKWY STE 300Anchorage, AK 99508-5234

Mailing Address3801 Lake Otis Pkwy Ste 300Anchorage, AK 99508-5234 · (907) 562-2277 · Fax (907) 563-3460

Phone(907) 562-2277

Fax(907) 563-3460

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 3, 2018

Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1700368081 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

License✔ Licensed in AK · 151658

3801 LAKE OTIS PKWY STE 300, Anchorage, AK 99508

Open in Google Maps ↗

Secondary Practice Location 1

Location 12250 E 42nd Ave Ste 200Anchorage, AK 99508-5202 · Phone (907) 569-3668 · Fax (907) 569-3669

Other Identifiers 1

Medicaid1701883AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kylie Nicole Street 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 ID9032545702

PECOS Enrollment IDI20200129001300

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

142 services96 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

130 services80 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

106 services72 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.

78 services78 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

31 services23 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.

30 services30 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.4

Promoting Interoperability

Improvement Activities

Cost

74.09

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier23 claims24 services$65.10 avg. paid by Medicare

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387

DME-Orthotic Devices · category DF000N

1 supplier19 claims19 services$121.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANNA PENNY

Student in an Organized Health Care Education/Training Program