Individual provider Active NPI

Garrett Kyle, FNP

  • Family Nurse Practitioner
  • Clarksville, AR
National Provider Identifier
1083433403
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231006 Issued in AR
Practice address
409 S Rogers St
Clarksville, AR 72830-3743
Phone
(479) 491-4141
Fax
(479) 491-4143
NPI assigned
Oct 3, 2024
Reactivated
Nov 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231006 AR Primary
Family Nurse Practitioner 363LF0000X 2024038773 MO

Addresses

Primary practice location

409 S Rogers St
Clarksville, AR 72830-3743

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

24 N Sprigg St
Cape Girardeau, MO 63701-5526
Phone (573) 332-7992

Other practice location 2

3801 S National Ave Ste 900
Springfield, MO 65807-5210
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250107000087 AR Practitioner - Nurse Practitioner 3779011622 Reassigns benefits to 1 organization
I20260414002706 MO Practitioner - Nurse Practitioner 3779011622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, shared by 29 NPIs, 143 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000

409 S Rogers St
Clarksville, AR 72830-3743
Phone (479) 746-7090

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2024038773MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Dec 30, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Dec 30, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients

Locations

409 S Rogers St
Clarksville, AR 72830
Phone (479) 491-4141

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

Interoperability endpoints

  • Direct secure messaging: garrett.kyle.1@15024.direct.athenahealth.com

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 4

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1083433403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303743",
            "telephone_number": "479-491-4141",
            "fax_number": "479-491-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 N Sprigg St",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637015526",
            "country_code": "US",
            "telephone_number": "573-332-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 S National Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "GARRETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "deactivation_date": "2024-10-04",
        "reactivation_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "231006",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024038773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.