Kyle J. Dickall
NPI 1609417369ActiveIndividual· Nurse Anesthetist, Certified Registered· Kingsport, TN
Nurse Anesthetist, Certified Registered with Covenant Anesthesia Group PC, practicing in Kingsport, Tennessee. Medicare paid $16,887 for services to 109 patients in 2024. Lists Methodist Medical Center of Oak Ridge as a hospital affiliation.
Overview
| NPI | 1609417369 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 3, 2019 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 27200 | TN |
| Registered Nurse | 163W00000X | 198328 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 110 across 45 procedure codes |
| Paid by Medicare | $16,887 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Covenant Anesthesia Group PCOak Ridge, TN · 231 clinicians
Hospital affiliation
- Methodist Medical Center of Oak RidgeOak Ridge, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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