KYLE STEVEN SCOTT – Certified Registered Nurse Anesthetist, NPI 1609411586

KYLE STEVEN SCOTT is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN9336882 (FL). The NPI Number for KYLE STEVEN SCOTT is 1609411586

Main info

Male
7 Years Of Experience
Name
KYLE STEVEN SCOTT
NPI
1609411586
Phone
(904) 702-6111
Address
3625 UNIVERSITY BLVD S
Enumeration Date
14 November 2019
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527261551
Graduation Year
2019 (7 years ago)
PAC ID
9436587995
Group Practice PAC ID
9537524343
Professional Enrollment ID
I20200316000969
Address ID
FL344524720IN502XXBLVD442

Contacts

Secure Messaging
kscott1384626@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:6State licenses:2Other names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KYLE STEVEN SCOTT

  • 3625 UNIVERSITY BLVD S

    JACKSONVILLE, FL 322164222

    Phone: (904) 702-6111

    Type: Mailing

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone:

    Type: Mailing

  • 3625 University Blvd S

    Jacksonville, FL 322164222

    Phone: (904) 702-6111

    Type: Location

  • 26 VALLEY GROVE DR

    PONTE VEDRA, FL 320816163

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: Medtronic, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$13
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200316000969ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20240403003326ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537524343View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)FL
Pediatric MedicineGA
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Can I cross-check KYLE STEVEN SCOTT using NPI 1609411586?
NPI 1609411586 belongs to KYLE STEVEN SCOTT; compare other details if you need extra assurance.
Is KYLE STEVEN SCOTT shown as active in public data?
Registry records indicate KYLE STEVEN SCOTT maintains an active NPI.
What expertise is attributed to KYLE STEVEN SCOTT?
KYLE STEVEN SCOTT's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KYLE STEVEN SCOTT?
Travel planning: use Jacksonville, Florida as the reference point for KYLE STEVEN SCOTT, then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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