MR. KYLE D. JENNINGS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124422217

MR. KYLE D. JENNINGS (CRNA) is a healthcare provider. based in Troy, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704269646 (MI). The NPI Number for MR. KYLE D. JENNINGS (CRNA) is 1124422217

Main info

Male
12 Years Of Experience
Name
MR. KYLE D. JENNINGS (CRNA)
NPI
1124422217
Phone
(248) 577-4995
Address
750 STEPHENSON HWY
Enumeration Date
17 October 2014
Last Update Date
17 October 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2146870001
Graduation Year
2014 (12 years ago)
PAC ID
0446471130
Group Practice PAC ID
7911325469
Professional Enrollment ID
I20141022000392
Address ID
MI481842405WA33155STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for MR. KYLE D. JENNINGS (CRNA)

  • 750 STEPHENSON HWY

    TROY, MI 480831103

    Phone: (248) 577-4995

    Fax: (248) 577-3526

    Type: Mailing

  • 44201 DEQUINDRE RD

    TROY, MI 480851117

    Phone: (248) 267-5700

    Fax: (248) 267-5703

    Type: Location

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 $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Avanos Medical ($91).

Total Amount

$91

General + Research + Ownership

Payments

1

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Avanos Medical$91
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: 2014-10-22

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
I20141022000392ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery8783$0
00140Anesthesia for other procedure on eye2725$0
View full utilization report →

Insurance plans in this area (ZIP 48083)

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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: 7911325469View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for MR. KYLE D. JENNINGS (CRNA) in the U.S.?
In the U.S., MR. KYLE D. JENNINGS (CRNA) is identified by NPI 1124422217.
Is MR. KYLE D. JENNINGS (CRNA)'s NPI status active today?
Active status means MR. KYLE D. JENNINGS (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. KYLE D. JENNINGS (CRNA)?
NPPES ties MR. KYLE D. JENNINGS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. KYLE D. JENNINGS (CRNA)?
MR. KYLE D. JENNINGS (CRNA) is associated with Troy, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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