KYLE TRETTER PMHNP
NPI 1780440065
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
955 N OXFORD AVE APT 3, LOS ANGELES, CA 90029(916) 900-2926(430) 209-0117 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kyle Tretter Pmhnp NPPES

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

KYLE TRETTER PMHNP (NPI 1780440065) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95028054) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780440065
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKYLE TRETTERCredential: PMHNP
Location Address955 N OXFORD AVE APT 3Los Angeles, CA 90029-3266
Mailing Address955 N Oxford Ave Apt 3Los Angeles, CA 90029-3266 · (812) 774-0349 · Fax (430) 209-0117
Fax(430) 209-0117
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
NPI 1780440065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95028054
955 N OXFORD AVE APT 3, Los Angeles, CA 90029

Secondary Practice Location 1

Location 11225 W 190th St Ste 280Gardena, CA 90248-4305 · Phone (877) 538-2102

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 Tretter Pmhnp 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 ID2860934817
PECOS Enrollment IDI20240606000884
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Tretter's NPI number?

The NPI number for Kyle Tretter is 1780440065. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Kyle Tretter located?

Kyle Tretter practices at 955 N Oxford Ave Apt 3, Los Angeles, CA 90029. The listed phone number is (916) 900-2926.

What is Kyle Tretter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kyle Tretter enrolled in Medicare?

Yes. Kyle Tretter 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 Tretter accept?

Health plans from Providence Health Plan list Kyle Tretter 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.

When was this NPI record last updated?

The NPPES record for Kyle Tretter was last updated on November 26, 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.