Kyle Kackman, APRN, CRNA
NPI 1366260549 · Certified Registered Nurse Anesthetist · Minneapolis, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Kackman, APRN, CRNA is a Certified Registered Nurse Anesthetist provider in Minneapolis, MN (NPI 1366260549).
Provider details
- NPI number
- 1366260549
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 3028 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-27
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Kyle Kackman's NPI number?
- Kyle Kackman's National Provider Identifier (NPI) is 1366260549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Kackman's specialty?
- Kyle Kackman is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kyle Kackman located?
- Kyle Kackman's practice location on file with NPPES is 1 Veterans Dr, Minneapolis, MN 55417-2309.
- What is Kyle Kackman's phone number?
- The practice phone number listed in the NPPES registry for Kyle Kackman is (763) 725-2000.
- Does Kyle Kackman accept Medicare?
- Kyle Kackman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Kackman's NPI active?
- Yes — Kyle Kackman's NPI (1366260549) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.