KYLE PRUETT CRNA
NPI 1780311217
Nurse Anesthetist, Certified Registered in Cambridge, MN

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
701 DELLWOOD ST S, CAMBRIDGE, MN 55008(763) 689-7700 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2022, Aug 4, 2022 (2 updates tracked since 2022).

About Kyle Pruett Crna NPPES

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

KYLE PRUETT CRNA (NPI 1780311217) is an individual nurse anesthetist, certified registered in Cambridge, Minnesota, licensed in Minnesota (2743) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780311217
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKYLE PRUETTCredential: CRNA
Location Address701 DELLWOOD ST SCambridge, MN 55008-1920
Mailing Address1502 15th St NPrinceton, MN 55371-1080
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 4, 2022
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1780311217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 2743
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2365578 (MN)
701 DELLWOOD ST S, Cambridge, MN 55008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Pruett Crna 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 ID5294104428
PECOS Enrollment IDI20221212000407
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kyle Pruett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder Unit
701 DELLWOOD ST S
Cambridge, MN 55008
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14054 BANK ST, BOX 100
Becker, MN 55308
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55008 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Counselor (Professional)
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Family Medicine
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Rehabilitation, Substance Use Disorder Unit
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Counselor (Addiction (Substance Use Disorder))
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Physician Assistant
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Family Medicine
701 DELLWOOD ST S, CMC
CAMBRIDGE, MN 55008
Nurse Practitioner (Family)
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Counselor (Addiction (Substance Use Disorder))
701 DELLWOOD ST S
CAMBRIDGE, MN 55008

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 Pruett's NPI number?

The NPI number for Kyle Pruett is 1780311217. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Kyle Pruett located?

Kyle Pruett practices at 701 Dellwood St S, Cambridge, MN 55008. The listed phone number is (763) 689-7700.

What is Kyle Pruett's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kyle Pruett enrolled in Medicare?

Yes. Kyle Pruett 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.

Which organizations bill Medicare for Kyle Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Pruett reassigns Medicare benefits to 3 organizations: Allina Health System (Cambridge, MN), Centracare Clinic (Big Lake, MN) and Central Minnesota Anesthesia Providers, PA (Becker, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Pruett affiliated with any hospitals?

According to CMS data, Kyle Pruett is affiliated with Cambridge Medical Center and Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Pruett was last updated on November 17, 2022. 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.