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

Kylie Margaret Newcomb

Individual provider Nurse Practitioner · NPI 1669334587

Kylie Margaret Newcomb is a Nurse Practitioner in Centralia, Illinois. Qualified in 2025, 1 year ago. Practices with Advanced Surgical Technology, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025

Practice location Address checks out

1307 E McCord St
Centralia, IL 62801-3610
Phone: (618) 899-9200
Fax: (618) 899-9206
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.034366 (IL)

Record details

NPI number1669334587
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2025
Last updated in NPPESJanuary 10, 2026
Certification dateJanuary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Surgical Technology, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centralia