Active NPI
Kyle B Fletcher, CRNA
- Certified Registered Nurse Anesthetist
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN696548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103345927 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
- Wellspan Ephrata Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Lancaster LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ephrata Community Hospital | Current | Accepting new patients | |
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Ephrata Community Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1609835933
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ephrata, PA
- NPI 1063559912
Nurse Anesthetist, Certified Registered
-
- Psychiatric Hospital Unit
- Ephrata, PA
- NPI 1215452354
-
- Orthopaedic Surgery Physician
- Ephrata, PA
- NPI 1245934686
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Dallastown, PA
- NPI 1326116823
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1013674266
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.