Individual provider Active NPI

Kyler Patrick Pilewski, PA-C

  • Physician Assistant
  • Wake Forest, NC
National Provider Identifier
1073347159
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14968 Issued in NC
Practice address
2001 S Main St
Wake Forest, NC 27587-1652
Phone
(919) 350-0365
NPI assigned
Aug 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14968 NC Primary

Addresses

Primary practice location

2001 S Main St
Wake Forest, NC 27587-1652

Mailing address

PO Box 803854
Kansas City, MO 64180-3854
Phone (919) 350-0351

Other practice location 1

100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7000

Other identifiers 1

IdentifierTypeStateIssuer
1073347159MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000532 NC Practitioner - Physician Assistant 5496285074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Zotec Way
Carmel, IN 46032-0052

5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5834

PO Box
Kansas City, MO 64180

Hospital & facility affiliations

  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Emergency Physicians PA CurrentSince Sep 28, 2025 Accepting new patients
Wake Emergency Physicians PA Single Specialty CurrentSince Sep 28, 2025 Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients

Locations

210 Towne Village Dr
Cary, NC 27513
Phone (919) 348-4483

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073347159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803854",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803854",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871652",
            "telephone_number": "919-350-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011604",
            "country_code": "US",
            "telephone_number": "252-522-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILEWSKI",
        "first_name": "KYLER",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073347159",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.