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

Kyle Michael Anderson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1205580313

Kyle Michael Anderson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with UPMC Pinnacle Anesthesia Services LLC, a 251-clinician group and accepts Medicare assignment. Licensed in Nevada and Wisconsin.

Years since qualifying
4
Licensed in
NV, WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (715) 495-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 162603 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 848576 (NV)

Record details

NPI number1205580313
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 8, 2022
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Upmc Pinnacle Anesthesia Services Llc — 251 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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