KYLE BRUCE FOWLER PA-C
NPI 1730997875
Physician Assistant - Surgical in Scottsbluff, NE

Active since December 20, 2024PECOS EnrolledAccepts Medicare Assignment
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 630-1947(308) 630-1439 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Bruce Fowler Pa-c NPPES

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

KYLE BRUCE FOWLER PA-C (NPI 1730997875) is an individual surgical provider in Scottsbluff, Nebraska and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730997875
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKYLE BRUCE FOWLERCredential: PA-C
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address7815 S 196th StGretna, NE 68028-5036 · (719) 453-6568
Fax(308) 630-1439
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 13, 2024
NPI 1730997875 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
4021 AVENUE B, Scottsbluff, NE 69361

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

Kyle Bruce Fowler 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 ID6709315203
PECOS Enrollment IDI20250129001283
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.

Hospital Affiliations CMS Care Compare

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Hospitalist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Student in an Organized Health Care Education/Training Program
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Pharmacist (Pharmacotherapy)
4021 AVENUE B, INPATIENT PHARMACY
SCOTTSBLUFF, NE 69361
Speech-Language Pathologist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Emergency Medicine
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Pharmacist
4021 AVENUE B, REGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
Physical Therapist
4021 AVENUE B
SCOTTSBLUFF, NE 69361

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 Fowler's NPI number?

The NPI number for Kyle Fowler is 1730997875. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Where is Kyle Fowler located?

Kyle Fowler practices at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 630-1947.

What is Kyle Fowler's specialty?

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

Is Kyle Fowler enrolled in Medicare?

Yes. Kyle Fowler 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 Fowler accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Kyle Fowler 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 Fowler affiliated with any hospitals?

According to CMS data, Kyle Fowler is affiliated with Regional West Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Fowler was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.