Kyle Faris, ACNPC-AG
NPI 1588480685 · Gerontology Nurse Practitioner · Peoria, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Faris, ACNPC-AG is a Gerontology Nurse Practitioner provider in Peoria, IL (NPI 1588480685).
Provider details
- NPI number
- 1588480685
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209032698 (IL)
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
2 documented practice locations
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
Additional practice locations (1)
- 747 BroadwaySeattle, WA 98122-4307Phone: (206) 215-3407
Registry dates
- Enumerated
- 2024-11-23
- Last updated
- 2025-07-12
- Certified
- 2025-07-12
Frequently asked questions
- What is Kyle Faris's NPI number?
- Kyle Faris's National Provider Identifier (NPI) is 1588480685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Faris's specialty?
- Kyle Faris is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kyle Faris located?
- Kyle Faris's practice location on file with NPPES is 1001 Main St Ste 200, Peoria, IL 61606-2035.
- What is Kyle Faris's phone number?
- The practice phone number listed in the NPPES registry for Kyle Faris is (309) 672-5682.
- Does Kyle Faris accept Medicare?
- Kyle Faris is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Faris's NPI active?
- Yes — Kyle Faris's NPI (1588480685) is active in the NPPES registry as of the last update on 2025-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.