KYLE JOSEPH MANTHEI (DNP, CRNA, BSN, RN) – Certified Registered Nurse Anesthetist, NPI 1740802974
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for KYLE JOSEPH MANTHEI (DNP, CRNA, BSN, RN)
4055 HARBOR POINT DR
NORTON SHORES, MI 494414662
Phone: (810) 358-9364
Type: Mailing
1375 N MAIN ST
LAPEER, MI 484461350
Phone: (810) 667-5500
Fax: (810) 667-5790
Type: Location
812 Gorman Ave
Elkins, WV 262413181
Phone: (304) 636-3300
Type: Location
103 EDGEWATER DR
ELKINS, WV 262419548
Phone: (810) 358-9364
Type: Mailing
812 GORMAN AVE
ELKINS, WV 262413181
Phone: (304) 636-3300
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: 2025-02-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200519001011 | I | Certified Registered Nurse Anesthetist (Crna) | WV | TBD |
| I20230227000812 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20250219001781 | I | Certified Registered Nurse Anesthetist (Crna) | OH | TBD |
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.
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 49441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Anesthesiology, Interventional Pain Management | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
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