KYLE STEVENS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255707758

KYLE STEVENS (CRNA) is a healthcare provider. based in Fort benning, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN566423 (PA). The NPI Number for KYLE STEVENS (CRNA) is 1255707758

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KYLE STEVENS (CRNA)
NPI
1255707758
Phone
(706) 408-3107
Address
6600 VAN AALST BOULEVARD
Enumeration Date
19 August 2015
Last Update Date
1 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4846288269
Graduation Year
2015 (11 years ago)
PAC ID
1759676109
Group Practice PAC ID
7618889213
Professional Enrollment ID
I20211103001444
Address ID
PA196111473WE420XXAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for KYLE STEVENS (CRNA)

  • 6600 VAN AALST BOULEVARD

    FORT BENNING, GA 319059664

    Phone: (706) 408-3107

    Type: Mailing

  • 400 Highland Ave

    Lewistown, PA 170441167

    Phone: (717) 242-7473

    Fax: (717) 242-7478

    Type: Location

  • 1 COOPER PLZ STE 294B

    CAMDEN, NJ 081031461

    Phone: (856) 342-2425

    Type: Location

  • 829 ELLIS AVE

    NEWTOWN SQUARE, PA 190733904

    Phone: (570) 954-8117

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210914000119ICertified Registered Nurse Anesthetist (Crna)NJTBD
I20211103001444ICertified Registered Nurse Anesthetist (Crna)PATBD
I20240801001422ICertified Registered Nurse Anesthetist (Crna)DETBD

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 31905)

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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: 7618889213View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Certified Registered Nurse Anesthetist (Crna)PA
General Surgery, Critical Care (Intensivists)PA
-PA
-PA
N E U R O L O G YPA
Hospitalist, Internal MedicinePA
-PA
General SurgeryMO
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Does KYLE STEVENS (CRNA) have a public NPI I can cite?
Public records show KYLE STEVENS (CRNA) under NPI 1255707758.
Is KYLE STEVENS (CRNA)'s NPI status active today?
Active status means KYLE STEVENS (CRNA)'s NPI record is not deactivated in the public file.
How should patients interpret KYLE STEVENS (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for KYLE STEVENS (CRNA). Clinical services aligned with this taxonomy classification.
Can patients visit KYLE STEVENS (CRNA) in Fort Benning, Georgia?
For routing, start with Fort Benning, Georgia for KYLE STEVENS (CRNA), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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