KYLE MARTIN PETERSON
NPI 1760169569
Nurse Practitioner - Family in Long Beach, CA
About Kyle Martin Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE MARTIN PETERSON (NPI 1760169569) is an individual family provider in Long Beach, California, licensed in California (95025769) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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 Martin Peterson 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LONG BEACH, CA 90813
LONG BEACH, CA 90813
LONG BEACH, CA 90813
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 Peterson's NPI number?
The NPI number for Kyle Peterson is 1760169569. It was assigned to this individual provider in the NPPES registry on July 3, 2023.
Where is Kyle Peterson located?
Kyle Peterson practices at 1050 Linden Ave, Long Beach, CA 90813. The listed phone number is (562) 810-7447.
What is Kyle Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kyle Peterson enrolled in Medicare?
Yes. Kyle Peterson 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 Peterson was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Kyle Martin Peterson · NPI 1760169569
Family physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1760169569 (Entity type: Individual)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95025769 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1050 LINDEN AVE, Long Beach, CA 90813-3321
- **Phone:** (562) 810-7447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760169569) · Data from the CMS NPPES public registry.