Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KYLE ANDREW WEISS CARRILLO CNP
NPI 1720830904
Nurse Practitioner in Albuquerque, NM

Active since April 02, 2024PECOS Enrolled
7200 MONTGOMERY BLVD NE STE 7121, ALBUQUERQUE, NM 87109(408) 781-0505 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, May 13, 2026, Apr 10, 2024 and 1 more (4 updates tracked since 2024).

About Kyle Andrew Weiss Carrillo Cnp NPPES

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

KYLE ANDREW WEISS CARRILLO CNP (NPI 1720830904) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (78510) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durango, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720830904
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKYLE ANDREW WEISS CARRILLOCredential: CNP
Location Address7200 MONTGOMERY BLVD NE STE 7121Albuquerque, NM 87109-1510
Mailing Address1112 Calle Del Sol NeAlbuquerque, NM 87106-1909 · (408) 781-0505
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 2, 2024
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1720830904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in NM · 78510 Licensed in CO · C-APN.0107089-C-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7200 MONTGOMERY BLVD NE STE 7121, Albuquerque, NM 87109

Secondary Practice Location 1

Location 11010 Three Springs BlvdDurango, CO 81301-8296 · Phone (970) 764-3352 · Fax (970) 764-3359

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Andrew Weiss Carrillo Cnp 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 ID9931540010
PECOS Enrollment IDI20240508000484
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 3

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 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.
31 services31 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.
15 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carrillo's NPI number?

The NPI number for Kyle Carrillo is 1720830904. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Kyle Carrillo located?

Kyle Carrillo practices at 7200 Montgomery Blvd NE Ste 7121, Albuquerque, NM 87109. The listed phone number is (408) 781-0505.

What is Kyle Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kyle Carrillo enrolled in Medicare?

Yes. Kyle Carrillo 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 Carrillo was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.