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

Kyle J Fecteau

Individual provider Registered Nurse · NPI 1811652480

Kyle J Fecteau is a Nurse Practitioner in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1305 N Martin Ave
Tucson, AZ 85721-7505
Phone: (520) 626-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 269868 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN192626 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 12743151 (AZ)

Record details

NPI number1811652480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address7881 W School Hill Pl, Tucson, AZ 85743-7505

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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