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

Kyle Russell Wall, RN

Individual provider Registered Nurse · NPI 1013519867

Kyle Russell Wall, RN is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2020, 6 years ago. Practices with Metropolitan Anesthesia Network LLP, a 519-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-5014
Fax: (612) 630-8270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2188577 (MN)

Record details

NPI number1013519867
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address8050 Lakebridge Ln, Victoria, MN 55386-3200

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Metropolitan Anesthesia Network Llp — 519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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