KYLE DAVID BRINSON (PA-C) – Physician Assistant, NPI 1952855405

KYLE DAVID BRINSON (PA-C) is a healthcare provider. based in Mishawaka, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10002154A (IN). The NPI Number for KYLE DAVID BRINSON (PA-C) is 1952855405

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KYLE DAVID BRINSON (PA-C)
NPI
1952855405
Phone
(574) 335-6000
Address
611 E Douglas Rd Ste 208
Enumeration Date
12 August 2016
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123539250
Graduation Year
2016 (10 years ago)
PAC ID
2567740020
Group Practice PAC ID
6204748197
Professional Enrollment ID
I20161103001446
Address ID
IN474089059BL2651XPKWY400

Contacts

Secure Messaging
kylebrinson@direct.iuhealth.org
Secure Messaging
kbrinson@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for KYLE DAVID BRINSON (PA-C)

  • 611 E Douglas Rd Ste 208

    Mishawaka, IN 465451465

    Phone: (574) 335-6000

    Type: Location

  • 2651 E Discovery Pkwy

    Bloomington, IN 474089059

    Phone: (812) 334-5081

    Fax: (812) 334-5091

    Type: Location

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    INDIANAPOLIS, IN 462901028

    Phone: (317) 583-7800

    Type: Location

  • 300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 2525 W UNIVERSITY AVE STE 300

    MUNCIE, IN 473033432

    Phone: (765) 747-3883

    Fax: (765) 448-7671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $3,618.

Total Amount is formed as General ($3,618) + Research ($0) + Ownership ($0) = $3,618.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,373).

Total Amount

$3,618

General + Research + Ownership

Payments

54

Total payment records

General Amount

$3,618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

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: 2016-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20161103001446IPhysician AssistantINTBD

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 46545)

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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: 6204748197View full group profile
NameSpecialtyState
Internal MedicineIN
Nurse PractitionerIN
Internal MedicinePA
Physician AssistantIN
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
P O D I A T R YIN

Reviews

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Frequently asked questions

What is the standard ID for KYLE DAVID BRINSON (PA-C) in the U.S.?
In the U.S., KYLE DAVID BRINSON (PA-C) is identified by NPI 1952855405.
Should I treat KYLE DAVID BRINSON (PA-C) as an active provider?
Patients and plans typically see KYLE DAVID BRINSON (PA-C) as active in the national extract.
Which specialty label fits KYLE DAVID BRINSON (PA-C)?
NPPES ties KYLE DAVID BRINSON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KYLE DAVID BRINSON (PA-C)?
The directory associates KYLE DAVID BRINSON (PA-C) with Mishawaka, Indiana. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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