Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Anderson, PA

Individual provider Physician Assistant · NPI 1508459231

Kyle Anderson, PA is a Physician Assistant in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada and Utah.

Years since qualifying
6
Licensed in
NV, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone: (702) 240-8646
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 White Sage Ave, Delta, UT 84624-8928 — (435) 864-3333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2376 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 14267947-1206 (UT)

Record details

NPI number1508459231
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2021
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address9010 W Cheyenne Ave, Las Vegas, NV 89129-8932

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Las Vegas