Individual provider Active NPI

Cheryl Lynn Kyle, APRN FNP-BC

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1972735637
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2000160949 Issued in MO
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

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 10 clinicians

Practice addresses (Care Compare)

910 N College Ave
Suite 4
Columbia, MO 65201-4797
Phone (636) 642-1215

Hospital & facility affiliations

  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Senior Care of Missouri Inc CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.