Individual provider Active NPI

Kyle Christopher Wasil, APRN,FNP-C

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1295443612
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032461 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Nov 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-6117 HI
Family Nurse Practitioner 363LF0000X 14301366-4405 UT
Family Nurse Practitioner 363LF0000X 344263 AZ
Family Nurse Practitioner 363LF0000X 70162225 WA
Family Nurse Practitioner 363LF0000X APRN.CNP.0032461 OH Primary
Family Nurse Practitioner 363LF0000X C-APN.0107555-C-NP CO
Family Nurse Practitioner 363LF0000X GAA-NP004309 GA
Family Nurse Practitioner 363LF0000X A193321 IA
Family Nurse Practitioner 363LF0000X 42812 TN
Family Nurse Practitioner 363LF0000X 026038320 MO
Family Nurse Practitioner 363LF0000X LG-0014074 DE
Family Nurse Practitioner 363LF0000X 71015724A IN
Family Nurse Practitioner 363LF0000X 53-84968-112 KS
Family Nurse Practitioner 363LF0000X 209030481 IL
Family Nurse Practitioner 363LF0000X APRN11037896 FL

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

900 Meadow Dr Ste A
Mount Gilead, OH 43338-1063
Phone (567) 876-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221202002036 OH Practitioner - Nurse Practitioner 5698144202 Reassigns benefits to 2 organizations
I20240920000708 IL Practitioner - Nurse Practitioner 5698144202 Reassigns benefits to 1 organization
I20241028002743 IN Practitioner - Nurse Practitioner 5698144202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037896FLMDFamily Nurse Practitioner
GAA-NP004309GAMDFamily Nurse Practitioner
53-84968-112KSMDFamily Nurse Practitioner
APRN.CNP.0032461OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 1, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2022 Accepting new patients
Devoted Medical Group Inc CurrentSince Mar 13, 2024 Accepting new patients
Devoted Medical PC CurrentSince Sep 9, 2024 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Oct 21, 2024 Accepting new patients
Ohiohealth Corporation Current Accepting new patients

Locations

200 S Wacker Dr
Fl 31
Chicago, IL 60606
Phone (312) 674-4746

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

900 Meadow Dr
Ste A
Mount Gilead, OH 43338
Phone (567) 876-6360

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1295443612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Meadow Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Gilead",
            "state": "OH",
            "postal_code": "433381063",
            "country_code": "US",
            "telephone_number": "567-876-6360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASIL",
        "first_name": "KYLE",
        "middle_name": "CHRISTOPHER",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-6117",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14301366-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "344263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "70162225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032461",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0107555-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A193321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "026038320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0014074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015724A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84968-112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.