KYLE WILSON MCGONIGAL – Psychiatric/Mental Health Nurse Practitioner, NPI 1417521014

KYLE WILSON MCGONIGAL is a healthcare provider. based in Mansfield, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1038376 (TX). The NPI Number for KYLE WILSON MCGONIGAL is 1417521014

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE WILSON MCGONIGAL
NPI
1417521014
Phone
(817) 781-5953
Address
PO BOX 1716
Enumeration Date
18 May 2021
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
2020 (6 years ago)
PAC ID
1153720065
Group Practice PAC ID
7810299187
Professional Enrollment ID
I20210526001640
Address ID
TX775042112PA4006XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KYLE WILSON MCGONIGAL

  • PO BOX 1716

    MANSFIELD, TX 760630010

    Phone: (817) 781-5953

    Type: Mailing

  • 7272 WURZBACH RD STE 706

    SAN ANTONIO, TX 782404803

    Phone: (210) 615-3483

    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: 2021-05-26

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
I20210526001640INurse PractitionerTXTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,735345$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,234315$0
90792Psychiatric diagnostic evaluation with medical services172171$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes10417$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes8817$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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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: 7810299187View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KYLE WILSON MCGONIGAL?
KYLE WILSON MCGONIGAL — NPI 1417521014 — is the standard way to identify this listing.
Is KYLE WILSON MCGONIGAL still practicing?
KYLE WILSON MCGONIGAL is currently listed as active in the public NPI registry.
What is KYLE WILSON MCGONIGAL best known for clinically?
Directory data describes KYLE WILSON MCGONIGAL with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KYLE WILSON MCGONIGAL on a map?
Expect Mansfield, Texas as a primary anchor for KYLE WILSON MCGONIGAL unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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