Active NPI
Kyle Alan Cassidy-Wescott, MD
- Family Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77850
- Practice address
- 205 Wabasha St S
Saint Paul, MN 55107-1805 - Phone
- (952) 853-8800
- NPI assigned
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-48731 | IA | |
| Family Medicine Physician | 207Q00000X | 77850 | MN | Primary |
| Family Medicine Physician | 207Q00000X | 036167181 | IL |
Addresses
Primary practice location
205 Wabasha St S
Saint Paul, MN 55107-1805
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
1701 Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6203
Other practice location 2
411 10th St SE
Cedar Rapids, IA 52403-2442
Phone (319) 363-3600
Other practice location 3
1765 Lininger Ln
North Liberty, IA 52317-2335
Phone (319) 467-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-48731 | IA | MD | Family Medicine Physician |
| 77850 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Family Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Mankato Clinic LTD | Family Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients |
Locations
1701 Curtis Rd
Champaign, IL 61822
Phone (217) 365-6201
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502
Interoperability endpoints
- kcassidywescottmd390041@carlehiedirect.net
- kylecassidy-wescott@mklt.allscriptsdirect.net
- kcassidywescott184189@uihcdirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Mankato, MN
- NPI 1629044029
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Family Medicine
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1073004222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WABASHA ST S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071805",
"telephone_number": "952-853-8800"
}
],
"practiceLocations": [
{
"address_1": "1701 Curtis Rd",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618229678",
"country_code": "US",
"telephone_number": "217-365-6203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 10th St SE",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524032442",
"country_code": "US",
"telephone_number": "319-363-3600",
"fax_number": "319-363-9971",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1765 Lininger Ln",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523172335",
"country_code": "US",
"telephone_number": "319-467-7888",
"fax_number": "319-467-7399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSIDY-WESCOTT",
"first_name": "KYLE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-48731",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "77850",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036167181",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.