KYLE AUSTIN SIMONSEN MD - NPI 1851850960 - Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Kyle Simonsen's NPI number?

The NPI number for Kyle Simonsen is 1851850960. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Kyle Simonsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Simonsen was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kyle Austin Simonsen Md NPPES

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

KYLE AUSTIN SIMONSEN MD (NPI 1851850960) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1851850960

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE AUSTIN SIMONSENCredential: MD

Location Address2401 S 31ST ST # MS -01712Temple, TX 76508-0001

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(254) 724-2366

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1851850960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 14224794-1205 (UT)

2401 S 31ST ST # MS -01712, Temple, TX 76508

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Secondary Practice Location 1

Location 1395 W Cougar Blvd Ste 503Provo, UT 84604-3323 · Phone (801) 357-7081

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Austin Simonsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.