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KYLE VAUGHN PA-C
NPI 1841739141
Physician Assistant - Medical in Norfolk, VA

Active since February 20, 2017PECOS EnrolledAccepts Medicare Assignment
814 KEMPSVILLE RD STE 102, NORFOLK, VA 23502(757) 623-0005(757) 389-5412 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 20, 2022, Feb 18, 2021, Feb 20, 2017 (3 updates tracked since 2017).

About Kyle Vaughn Pa-c NPPES

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

KYLE VAUGHN PA-C (NPI 1841739141) is an individual medical provider in Norfolk, Virginia, licensed in Virginia (0110007161) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1841739141
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKYLE VAUGHNCredential: PA-C
Location Address814 KEMPSVILLE RD STE 102Norfolk, VA 23502-4001
Mailing Address4445 Corporation Ln Ste 100Virginia Beach, VA 23462-3666 · (757) 623-0005 · Fax (757) 548-1128
Phone(757) 623-0005
Fax(757) 389-5412
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 20, 2017
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1841739141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in VA · 0110007161✔ Licensed in NC · 0010-07079
814 KEMPSVILLE RD STE 102, Norfolk, VA 23502
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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 Vaughn 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 ID1951687698
PECOS Enrollment IDI20201012002037
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.
352 services219 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
28 services11 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MELODY SIFF MD
Internal Medicine (Nephrology)
814 KEMPSVILLE RD STE 102
NORFOLK, VA 23502
Norfolk City (757) 623-0005

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 Vaughn's NPI number?

The NPI number for Kyle Vaughn is 1841739141. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Kyle Vaughn located?

Kyle Vaughn practices at 814 Kempsville Rd Ste 102, Norfolk, VA 23502. The listed phone number is (757) 623-0005.

What is Kyle Vaughn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kyle Vaughn enrolled in Medicare?

Yes. Kyle Vaughn 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.

Is Kyle Vaughn affiliated with any hospitals?

According to CMS data, Kyle Vaughn is affiliated with Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Vaughn was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.