Individual provider Active NPI

Kyle Rennell

  • Medical Physician Assistant
  • Gettysburg, PA
National Provider Identifier
1750218657
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA067978 Issued in PA
Practice address
20 Expedition TRL Ste 203
Gettysburg, PA 17325-8599
Phone
(717) 334-9535
NPI assigned
May 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA007804 PA
Medical Physician Assistant 363AM0700X MA067978 PA Primary

Addresses

Primary practice location

20 Expedition TRL Ste 203
Gettysburg, PA 17325-8599

Mailing address

20 Expedition TRL Ste 203
Gettysburg, PA 17325-8599
Phone (717) 334-9535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1750218657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL STE 203",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258599",
            "telephone_number": "717-334-9535",
            "fax_number": "717-337-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL STE 203",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258599",
            "telephone_number": "717-334-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELL",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007804",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA067978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.