Active NPI
Cheryl Lynn Kyle, APRN FNP-BC
- Family Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2000160949
- Practice address
- 910 N College Ave Ste 4
Columbia, MO 65201-4797 - Phone
- (636) 642-1215
- Fax
- (573) 234-4799
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2000160949 | MO | Primary |
Addresses
Primary practice location
910 N College Ave Ste 4
Columbia, MO 65201-4797
Mailing address
910 N College Ave Ste 4
Columbia, MO 65201-4797
Phone (636) 642-1215
Other practice location 1
201 N Main St
Auxvasse, MO 65231-1624
Phone (573) 386-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120306000420 | MO | Practitioner - Nurse Practitioner | 2062671357 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Senior Care of Missouri Inc
Practice addresses (Care Compare)
910 N College Ave
Suite 4
Columbia, MO 65201-4797
Phone (636) 642-1215
Hospital & facility affiliations
- Elara Caring
- Boone Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Senior Care of Missouri Inc | Current | Accepting new patients |
Locations
301 S Henry Clay Blvd
Ashland, MO 65010
Phone (573) 222-5650
117 S Hickman St
Centralia, MO 65240
Phone (573) 682-3204
750 E Highway 22
Centralia, MO 65240
Phone (573) 508-0662
3710 S Lenoir St
Columbia, MO 65201
Phone (573) 815-6359
2012 E Nifong Blvd
Columbia, MO 65201
Phone (573) 449-1246
550 Stone Valley Pkwy
Columbia, MO 65203
Phone (573) 527-3836
3003 Falling Leaf Ct
Columbia, MO 65201
Phone (573) 256-4620
2910 Bluff Creek Dr
Columbia, MO 65201
Phone (573) 256-4620
4700 Brandon Woods St
Columbia, MO 65203
Phone (573) 574-3674
2333 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 234-1091
910 N College Ave
Ste 4
Columbia, MO 65201
Phone (573) 682-5913
1201 Hunt Ave
Columbia, MO 65202
Phone (573) 449-1448
109 N Keene St
Columbia, MO 65201
Phone (573) 443-2007
3535 Berrywood Dr
Columbia, MO 65201
Phone (573) 397-7144
3105 Bluff Creek Dr
Columbia, MO 65201
Phone (573) 442-6060
619 E 8th St
Eldon, MO 65026
Phone (573) 557-9545
120 N Hospital Dr
Fulton, MO 65251
Phone (573) 642-5222
100 Audsley Dr
Glasgow, MO 65254
Phone (660) 338-2297
229 Karen Dr
Holts Summit, MO 65043
Phone (573) 896-8567
239 Karen Dr
Holts Summit, MO 65043
Phone (573) 415-0390
3335 N Ten Mile Dr
Jefferson City, MO 65109
Phone (573) 287-3144
612 W Coates St
Moberly, MO 65270
Phone (660) 263-6759
521 Meadow Ridge Ln
Moberly, MO 65270
Phone (660) 269-8752
112 Parkway
Vienna, MO 65582
Phone (573) 207-3113
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jefferson City, MO
- NPI 1255379145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1972735637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N COLLEGE AVE STE 4",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652014797",
"telephone_number": "636-642-1215",
"fax_number": "573-234-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N COLLEGE AVE STE 4",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652014797",
"telephone_number": "636-642-1215",
"fax_number": "573-234-4799"
}
],
"practiceLocations": [
{
"address_1": "201 N Main St",
"address_purpose": "LOCATION",
"city": "Auxvasse",
"state": "MO",
"postal_code": "652311624",
"country_code": "US",
"telephone_number": "573-386-5959",
"fax_number": "573-386-5995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYLE",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2000160949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.