KYLE NIELAND (OD) – Optometrist, NPI 1922839828

KYLE NIELAND (OD) is a healthcare provider. based in Appleton, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4025-35 (WI). The NPI Number for KYLE NIELAND (OD) is 1922839828

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KYLE NIELAND (OD)
NPI
1922839828
Phone
(920) 734-8714
Address
1301 E NORTHLAND AVE STE A
Enumeration Date
12 August 2024
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207359914
Graduation Year
2022 (4 years ago)
PAC ID
2860924800
Group Practice PAC ID
6608124508
Professional Enrollment ID
I20241016001280
Address ID
WI549144200AP2600XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for KYLE NIELAND (OD)

  • 1301 E NORTHLAND AVE STE A

    APPLETON, WI 549118582

    Phone: (920) 734-8714

    Fax: (920) 734-8785

    Type: Mailing

  • 2500 E Capitol Dr Ste 3500

    Appleton, WI 549118735

    Phone: (920) 358-1820

    Fax: (920) 358-1829

    Type: Location

  • 2600 W COLLEGE AVE STE 1

    APPLETON, WI 549144200

    Phone: (920) 735-9914

    Fax: (920) 830-6578

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($21).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-16

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
I20241016001280IOptometryWITBD

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 54911)

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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: 6608124508View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YWI

Reviews

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Frequently asked questions

Can I use this page to confirm KYLE NIELAND (OD)'s NPI?
Yes. KYLE NIELAND (OD) is listed with NPI 1922839828 in the public NPI dataset.
Is KYLE NIELAND (OD) still practicing?
KYLE NIELAND (OD) is currently listed as active in the public NPI registry.
What is KYLE NIELAND (OD) best known for clinically?
Directory data describes KYLE NIELAND (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE NIELAND (OD)?
KYLE NIELAND (OD)'s geographic hint is Appleton, Wisconsin in our summary view.
Why does KYLE NIELAND (OD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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