KYLE LESLIE ANDERSON (FNP-C) – Family Nurse Practitioner, NPI 1316309610

KYLE LESLIE ANDERSON (FNP-C) is a healthcare provider. based in Riverton, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 48431 (WY). The NPI Number for KYLE LESLIE ANDERSON (FNP-C) is 1316309610

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KYLE LESLIE ANDERSON (FNP-C)
NPI
1316309610
Phone
(307) 463-6300
Address
1035 ROSE LN
Enumeration Date
25 March 2016
Last Update Date
8 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072336000
Graduation Year
2018 (8 years ago)
PAC ID
4183955040
Group Practice PAC ID
3375454705
Professional Enrollment ID
I20191008003238
Address ID
WY826093345CA5000XRDXX300

Contacts

Secure Messaging
anderskl1@omhc.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

596 NURSE PRACTITIONER in WY

Provider Addresses for KYLE LESLIE ANDERSON (FNP-C)

  • 1035 ROSE LN

    RIVERTON, WY 825012286

    Phone: (307) 463-6300

    Type: Location

  • PO BOX 190

    ODESSA, WA 991590190

    Phone: (509) 982-2614

    Fax: (509) 982-2675

    Type: Mailing

  • 5000 BLACKMORE RD

    CASPER, WY 826093345

    Phone: (307) 233-6000

    Fax: (307) 233-6089

    Type: Mailing

  • Amende Drive, Odessa, Lincoln County, Washington, 99159, United States

    ODESSA, WA 991597003

    Phone: (509) 982-2614

    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 $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($57).

Total Amount

$167

General + Research + Ownership

Payments

9

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2023-06-07

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
I20230607003717INurse PractitionerWYTBD

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
83036Hemoglobin a1c level5639$0
80305Testing for presence of drug, read by direct observation2617$0
81003Automated urinalysis test2418$0
View full utilization report →

Insurance plans in this area (ZIP 82501)

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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: 3375454705View full group profile
NameSpecialtyState
Physician AssistantWY
Nurse PractitionerWY
Clinical Social WorkerWY
Clinical Social WorkerWY
Physician AssistantWY
Nurse PractitionerWY
Nurse PractitionerWY
Family PracticeWY
Nurse PractitionerWY
Physician AssistantWY

Reviews

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Frequently asked questions

What federal number belongs to KYLE LESLIE ANDERSON (FNP-C)?
The federal identifier for KYLE LESLIE ANDERSON (FNP-C) is NPI 1316309610.
Is KYLE LESLIE ANDERSON (FNP-C) active in the national directory?
KYLE LESLIE ANDERSON (FNP-C)'s public NPI profile is in an active state.
Does KYLE LESLIE ANDERSON (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KYLE LESLIE ANDERSON (FNP-C). Clinical services aligned with this taxonomy classification.
Does KYLE LESLIE ANDERSON (FNP-C) practice in Wyoming?
You will see Riverton, Wyoming on file for KYLE LESLIE ANDERSON (FNP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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