Individual provider Active NPI

Kyle Hale, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1376218479
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031072 Issued in PA
Practice address
6200 Brooktree Rd Ste 310
Wexford, PA 15090-9299
Phone
(724) 252-4637
Fax
(724) 252-7994
NPI assigned
Aug 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031072 PA Primary

Addresses

Primary practice location

6200 Brooktree Rd Ste 310
Wexford, PA 15090-9299

Mailing address

6200 Brooktree Rd Ste 310
Wexford, PA 15090-9299
Phone (724) 252-4637

Other practice location 1

195 Crowe Ave
Mars, PA 16046-3303
Phone (724) 252-4637

Other practice location 2

1301 Riverview Ave
Conway, PA 15027-1442
Phone (724) 650-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211230002117 PA Practitioner - Nurse Practitioner 1658762679 Practice locations: Mars, PA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

195 Crowe Ave
Mars, PA 16046-3303
Phone (724) 252-4637

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP031072PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1376218479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BROOKTREE RD STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909299",
            "telephone_number": "724-252-4637",
            "fax_number": "724-252-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BROOKTREE RD STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909299",
            "telephone_number": "724-252-4637",
            "fax_number": "724-252-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Crowe Ave",
            "address_purpose": "LOCATION",
            "city": "Mars",
            "state": "PA",
            "postal_code": "160463303",
            "country_code": "US",
            "telephone_number": "724-252-4637",
            "fax_number": "724-252-7994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Riverview Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "PA",
            "postal_code": "150271442",
            "country_code": "US",
            "telephone_number": "724-650-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "KYLE",
        "credential": "CRNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.