Kyle J Christensen, PA-C
Individual provider Active NPI Medical Physician Assistant · Richfield, UT
NPI 1831290790 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1831290790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1000 N Main St Ste B
Richfield, UT 84701-2069 - Phone
- (435) 893-0800
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1000 N Main St
Richfield, UT 84701-2061
Phone (801) 357-4600
1000 N Main St
Richfield, UT 84701-2069
1100 S Medical Dr
Mount Pleasant, UT 84647-2222
Phone (435) 462-4169
130 S 300 W St
Bicknell, UT 84715-0303
Phone (435) 893-0800
2075 N 1200
Layton, UT 84041-1611
Phone (801) 779-6200
2075 University Park Blvd
Layton, UT 84041-1611
Phone (801) 387-6200
5323 S Woodrow St
Murray, UT 84107-5841
Phone (801) 261-8346
70 E 1000
Richfield, UT 84701-1850
Phone (435) 893-0580
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
9450 S 1300
Sandy, UT 84094-5555
Phone (801) 501-6250
Hospital & facility affiliations
- Intermountain Health Home Health - Mt. Pleasant
- Intermountain Health Sevier Valley Hospital
- Intermountain Health Sanpete Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20110118000806 | UT | Practitioner - Physician Assistant | 4587660584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2006-0022 | NM | |
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
1000 N Main St Ste B
Richfield, UT 84701-2069
Mailing address
1000 N Main St
Richfield, UT 84701-2061
Phone (435) 893-0800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47589523 | Medicaid | NM | |
| PA2006-0022 | Other | NM | MEDICAL LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.christensen@direct.imail.org |
Other providers in Richfield, UT
- Peter Chandler
- Kevin Chappell
- Stephanie Dawn Chappell
- Randall E. Chesley
- Scott Choate
- Michael Ted Christensen
- Ted L Christensen
- Amanda Clark
- Clover Clinical LLC
- Sarah Loren Coca
All providers in Richfield, UT · Medical Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. 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.