Individual provider Active NPI

Kyle Dale Nevills, CRNA, DNP, NSPM-C

  • Certified Registered Nurse Anesthetist
  • Manhattan, KS
National Provider Identifier
1891737243
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54321 Issued in KS
Practice address
1213 Hylton Heights Rd Ste 109
Manhattan, KS 66502
Phone
(785) 320-7576
Fax
(785) 320-5428
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X 54321 KS
Certified Registered Nurse Anesthetist 367500000X 54321 KS Primary

Addresses

Primary practice location

1213 Hylton Heights Rd Ste 109
Manhattan, KS 66502

Mailing address

1213 Hylton Heights Rd Ste 109
Manhattan, KS 66502-2812
Phone (785) 320-7576

Other identifiers 1

IdentifierTypeStateIssuer
100248420CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050512000595 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769423474 Reassigns benefits to 1 organization
I20191010001131 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769423474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

  • Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302
  • Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
54321KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Flint Hills Pain Management PA Pain Management CurrentSince Apr 1, 2017 Accepting new patients
Littleton Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Newton Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1404 Beechwood Ter
Ste C
Manhattan, KS 66502
Phone (785) 320-6770

1213 Hylton Heights Rd
Ste 109
Manhattan, KS 66502
Phone (785) 320-5324

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1891737243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD STE 109",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022812",
            "telephone_number": "785-320-7576",
            "fax_number": "785-320-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD STE 109",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66502",
            "telephone_number": "785-320-7576",
            "fax_number": "785-320-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLS",
        "first_name": "KYLE",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "CRNA, DNP, NSPM-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "KS",
            "license": "54321",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248420C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.

Verify at the official NPI Registry.