Active NPI
Kevin John Coyle
- Certified Registered Nurse Anesthetist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 328968
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 779-3366
- NPI assigned
- Sep 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 328968 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
1400 El Capitan Way
Napa, CA 94558-2812
Phone (707) 304-3873
Other practice location 1
716 Stevens Ave
Portland, ME 04103-2693
Phone (207) 221-4516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
Hospital & facility affiliations
- Havasu Regional Medical Center
- Flagstaff Medical Center
- Canyon Vista Medical Center
- Community Regional Medical Center
- Kingman Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328968 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
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.
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1477274751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EL CAPITAN WAY",
"city": "NAPA",
"state": "CA",
"postal_code": "945582812",
"telephone_number": "707-304-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-779-3366"
}
],
"practiceLocations": [
{
"address_1": "716 Stevens Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041032693",
"country_code": "US",
"telephone_number": "207-221-4516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYLE",
"first_name": "KEVIN",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "328968",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.