MR. KYLE EDWARD ANDERSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1912540980

MR. KYLE EDWARD ANDERSON (PMHNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. AP143637 (TX). The NPI Number for MR. KYLE EDWARD ANDERSON (PMHNP-BC) is 1912540980

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYLE EDWARD ANDERSON (PMHNP-BC)
NPI
1912540980
Phone
(210) 289-5953
Address
1410 NE 106TH AVE
Enumeration Date
23 October 2019
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105758110
Graduation Year
2019 (7 years ago)
PAC ID
5991130262
Group Practice PAC ID
5890078042
Professional Enrollment ID
I20200114002108
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

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Provider Addresses for MR. KYLE EDWARD ANDERSON (PMHNP-BC)

  • 1410, Northeast 106th Avenue, Gateway, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97220, United States

    PORTLAND, OR 972203934

    Phone: (210) 289-5953

    Type: Location

  • 12655 SW CENTER ST STE 150

    BEAVERTON, OR 970051864

    Phone: (503) 832-0945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($63).

Total Amount

$177

General + Research + Ownership

Payments

9

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97220)

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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: 5890078042View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm MR. KYLE EDWARD ANDERSON (PMHNP-BC)'s NPI?
Yes. MR. KYLE EDWARD ANDERSON (PMHNP-BC) is listed with NPI 1912540980 in the public NPI dataset.
Is MR. KYLE EDWARD ANDERSON (PMHNP-BC) listed as active for patients and plans?
The listing shows MR. KYLE EDWARD ANDERSON (PMHNP-BC) as active in the NPI system.
What is MR. KYLE EDWARD ANDERSON (PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MR. KYLE EDWARD ANDERSON (PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
Does MR. KYLE EDWARD ANDERSON (PMHNP-BC) list a practice location?
Patients near Portland, Oregon may find MR. KYLE EDWARD ANDERSON (PMHNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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