KYLE JAMES EARDLEY (PA-C) – Physician Assistant, NPI 1376369231

KYLE JAMES EARDLEY (PA-C) is a healthcare provider. based in St george, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 14193025-1206 (UT). The NPI Number for KYLE JAMES EARDLEY (PA-C) is 1376369231

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
KYLE JAMES EARDLEY (PA-C)
NPI
1376369231
Phone
(435) 628-2826
Address
383 S 300 E
Enumeration Date
25 November 2024
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
6406383561
Group Practice PAC ID
4587675004
Professional Enrollment ID
I20241231002503
Address ID
UT847703620Sa383XX300X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for KYLE JAMES EARDLEY (PA-C)

  • 383 S 300 E

    ST GEORGE, UT 847703620

    Phone: (435) 628-2826

    Mailing address matches the actual address.

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: 2024-12-31

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
I20241231002503IPhysician AssistantUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84770)

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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: 4587675004View full group profile
NameSpecialtyState
Physician AssistantNV
-UT
Physician AssistantUT
D E R M A T O L O G YUT
Physician AssistantUT
D E R M A T O L O G YTX
D E R M A T O L O G YUT
Physician AssistantUT

Reviews

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Frequently asked questions

How do payers reference KYLE JAMES EARDLEY (PA-C)?
For KYLE JAMES EARDLEY (PA-C), use NPI 1376369231 as the unique 10-digit identifier.
Active or inactive — what applies to KYLE JAMES EARDLEY (PA-C)?
You should see KYLE JAMES EARDLEY (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to KYLE JAMES EARDLEY (PA-C)?
KYLE JAMES EARDLEY (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Utah is KYLE JAMES EARDLEY (PA-C) registered?
Use St George, Utah as the headline location for KYLE JAMES EARDLEY (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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