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

Kyle Joseph Micon

Individual provider Nurse Practitioner · NPI 1952827776

Kyle Joseph Micon is a Nurse Practitioner in Everett, Washington. Qualified in 2017, 9 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017

Practice location Address checks out

607 SE Everett Mall Way
Everett, WA 98208-3248
Phone: (425) 265-7000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60763393 (WA)

Record details

NPI number1952827776
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 15, 2017
Mailing address14515 N Creek Dr Apt A307, Mill Creek, WA 98012-5767

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Everett