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

Individual provider Physician Assistant · NPI 1275399248

Kyle Pernula, PA-C is a Physician Assistant in Clackamas, Oregon. Graduated from University of Nebraska College of Medicine in 2024, 2 years ago. Practices with Active Recovery TMS PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Trained at
University of Nebraska College of Medicine
Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10151 SE Sunnyside Rd
Clackamas, OR 97015-6913
Phone: (503) 647-6456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA217844 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1275399248
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address10151 Se Sunnyside Rd, Clackamas, OR 97015-6913

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Active Recovery Tms Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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