KYLE CULLEN – Physician Assistant, NPI 1255863130

KYLE CULLEN is a healthcare provider. based in Kalamazoo, Michigan. specializing in Physician Assistant. They hold a License No. 020739 (NY). The NPI Number for KYLE CULLEN is 1255863130

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KYLE CULLEN
NPI
1255863130
Phone
(269) 341-6022
Address
601 John St Ste M-352
Enumeration Date
30 March 2017
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6800172206
Group Practice PAC ID
5294645750
Professional Enrollment ID
I20191125000054

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

Provider Addresses for KYLE CULLEN

  • 601 John St Ste M-352

    Kalamazoo, MI 490075341

    Phone: (269) 341-6022

    Type: Location

  • 5959, Big Tree Road, Orchard Park, Erie County, New York, 14127, United States

    ORCHARD PARK, NY 141272291

    Phone: (716) 204-3200

    Type: Mailing

  • 4225, Genesee Street, Cheektowaga, Erie County, New York, 14225, United States

    CHEEKTOWAGA, NY 142251994

    Phone: (716) 204-3200

    Type: Location

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: 2022-07-05

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
I20220705002314IPhysician AssistantTNTBD

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
99285Emergency department visit with high level of medical decision making116114$0
99284Emergency department visit with moderate level of medical decision making7775$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2826$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 5294645750View full group profile
NameSpecialtyState
-MI
-MI
-MI
General Surgery, Vascular SurgeryMI
Interventional Radiology, Diagnostic RadiologyMI
Physician AssistantMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Nurse PractitionerMI
-MI
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What is the standard ID for KYLE CULLEN in the U.S.?
In the U.S., KYLE CULLEN is identified by NPI 1255863130.
Should I treat KYLE CULLEN as an active provider?
Patients and plans typically see KYLE CULLEN as active in the national extract.
What does the directory say KYLE CULLEN does?
Insurance directories may phrase it differently, but here KYLE CULLEN maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KYLE CULLEN in Kalamazoo, Michigan?
For routing, start with Kalamazoo, Michigan for KYLE CULLEN, 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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