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

Kyle J Fecteau

Individual provider Registered Nurse · NPI 1811652480

Kyle J Fecteau is a Nurse Practitioner in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1305 N Martin Ave
Tucson, AZ 85721-7505
Phone: (520) 626-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 269868 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN192626 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 12743151 (AZ)

Record details

NPI number1811652480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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