Individual provider Active NPI

Kyle Bart Dewey, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1477046902
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11383 Issued in AZ
Practice address
15820 N 35TH Ave Ste 14
Phoenix, AZ 85053-7608
Phone
(866) 207-3882
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 AP11383 AZ Primary

Addresses

Primary practice location

15820 N 35TH Ave Ste 14
Phoenix, AZ 85053-7608

Mailing address

1743 E Menlo St
Mesa, AZ 85203-1334

Other practice location 1

1743 E Menlo St
Mesa, AZ 85203-1334
Phone (480) 415-8200

Other practice location 2

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

Other practice location 3

2150 S Country Club Dr Ste 36
Mesa, AZ 85210-6886
Phone (866) 207-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180717001381 AZ Practitioner - Nurse Practitioner 2567719982 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince Jun 29, 2018 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Jun 29, 2018 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Changepoint Integrated Health Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

Organizations & group practices 7

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1477046902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 E MENLO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852031334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 N 35TH AVE STE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537608",
            "telephone_number": "866-207-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1743 E Menlo St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852031334",
            "country_code": "US",
            "telephone_number": "480-415-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851205501",
            "country_code": "US",
            "telephone_number": "480-983-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 S Country Club Dr Ste 36",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106886",
            "country_code": "US",
            "telephone_number": "866-207-3882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "KYLE",
        "middle_name": "BART",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.