Individual provider Active NPI

Kyler Vogel, PA-C

  • Physician Assistant
  • Tazewell, TN
National Provider Identifier
1962071340
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
209 Irish Cemetery Rd
Tazewell, TN 37879-3634
Phone
(423) 869-5600
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

209 Irish Cemetery Rd
Tazewell, TN 37879-3634

Mailing address

209 Irish Cemetery Rd
Tazewell, TN 37879-3634
Phone (423) 869-5600

Other names 1

  • Kyler Dalton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211116001926 TN Practitioner - Physician Assistant 8224427067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians Knoxville PLLCGroup PAC ID 9739573353, 7 clinicians

Practice addresses (Care Compare)

1415 Old Weisgarber Rd
Suite 350
Knoxville, TN 37909-1381
Phone (865) 588-1605

170 Beech St
Harrogate, TN 37752-8251
Phone (423) 869-5600

209 Irish Cemetery Rd
Tazewell, TN 37879-3634
Phone (423) 869-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.07 of 100Reported as group
Quality
77.73
Promoting interoperability
100
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 8, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 8, 2021 Accepting new patients
Healthstar Physicians, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kyler.dalton.1@25546.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962071340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793634",
            "telephone_number": "423-869-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793634",
            "telephone_number": "423-869-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "KYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLER",
            "last_name": "DALTON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.