Kylie Andrews, PA
Individual provider Active NPI Physician Assistant · La Grande, OR
NPI 1437041530 · NPPES record last updated Nov 9, 2025
Key facts
- NPI
- 1437041530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 227787 (OR)
- Practice address
- 900 Sunset Dr
La Grande, OR 97850-1387 - Phone
- (541) 963-8421
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 3290
La Grande, OR 97850
Hospital & facility affiliations
- Grande Ronde Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120004446 | OR | Practitioner - Physician Assistant | 3577055144 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227787 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients |
Locations
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
710 Sunset Dr
Ste F
La Grande, OR 97850
Phone (541) 663-3100
Interoperability endpoints
- kandrews4136920@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 227787 | OR | Yes |
Addresses
Primary practice location
900 Sunset Dr
La Grande, OR 97850-1387
Mailing address
501 5TH St
La Grande, OR 97850-1913
Other providers in La Grande, OR
- Wendy R Alloway
- Arthur W. Anderson
- Keisha Dawn Anderson
- Nancy E Anderson
- Kathryn Lynn Andrew
- Sarah B Androlewicz
- Joshua Fernando Annas
- Patrick H Archie
- Emilia Arden
- Amanda Susan Arnold
All providers in La Grande, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.