Individual provider Active NPI

Kyle B Fletcher, CRNA

  • Certified Registered Nurse Anesthetist
  • Ephrata, PA
National Provider Identifier
1992226419
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN696548 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522
Phone
(717) 738-6618
Fax
(717) 738-6646
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN696548 PA
Certified Registered Nurse Anesthetist 367500000X RN696548 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 859-5160

Other practice location 2

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Other identifiers 1

IdentifierTypeStateIssuer
103345927MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901000664 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385917954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

2160 State Rd
Lancaster, PA 17601-1812
Phone (800) 243-1455

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Lancaster LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2023 Accepting new patients
Ephrata Community Hospital CurrentSince Jul 15, 2019 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Nov 10, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Mar 23, 2024 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Ephrata Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Mar 23, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

170 N Pointe Blvd
Lancaster, PA 17601

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

1701 Cornwall Rd
Ste 200
Lebanon, PA 17042

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 9

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 5

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1992226419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-738-6618",
            "fax_number": "717-738-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-859-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KYLE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN696548",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN696548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103345927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.