Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417679762 Individual Practitioner Male Practitioner

Kyle James Oleary , ARNP

Nurse Practitioner • Wilton Manors, FL

Professional Overview & Biography Verified Profile Summary

Kyle Oleary, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Wilton Manors, FL. Practice services are available at 1442 NE 26TH ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1442 Ne 26th St

Wilton Manors, FL 333051322

Telephone 9543917160
Fax 9543930811
Associated Practice Facility / Clinic
🏢 Island City Urgent Care Pa Facility NPI 1003647587

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wilton Manors, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Wilton Manors, FL (8990 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $300.71 $144.79

Medical Specialties & State Licenses

CMS Verified: 2026-08-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11021418

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Women's Health

NUCC Taxonomy Code: 363LW0102X

State License FL 1245103349

Definition to come...

Nurse Practitioner - Occupational Health

NUCC Taxonomy Code: 363LX0106X

State License FL 1003647587

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License FL 1003647587

Definition to come...

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License FL JR56579000

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Clinic/Center - Community Health

NUCC Taxonomy Code: 261QC1500X

State License FL 1003647587

Definition to come...

Technician, Pathology - Clinical Laboratory Director, Non-physician

NUCC Taxonomy Code: 247ZC0005X

State License FL 10D2317428

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Clinic/Center - Urgent Care

NUCC Taxonomy Code: 261QU0200X

State License FL 1003647587

Definition to come...

Clinic/Center - Multi-Specialty

NUCC Taxonomy Code: 261QM1300X

State License FL 1245103449

Definition to come...

Radiology - Diagnostic Ultrasound

NUCC Taxonomy Code: 2085U0001X

State License FL 1417679762

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Clinic/Center

NUCC Taxonomy Code: 261Q00000X

State License FL 1003647587

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL 1245103349

Definition to come...

Nurse Practitioner - School

NUCC Taxonomy Code: 363LS0200X

State License FL 1245103349

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License FL 1245103349

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License FL 1245103349

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
124809600 (FL)
Commercial Insurance / Payer ID Clia
10D2317428 (FL)
Commercial Insurance / Payer ID Npi
1417679762 (FL)
Commercial Insurance / Payer ID Cahq
15988989
Commercial Insurance / Payer ID Npi
1003647587 (FL)
Commercial Insurance / Payer ID Npi
1245103449 (FL)
Commercial Insurance / Payer ID Pharmacy
82907 (FL)
Commercial Insurance / Payer ID Radiology X Ray
JR5657900 (FL)
Commercial Insurance / Payer ID Florida Blue
QHU7F (FL)
Commercial Insurance / Payer ID 8048576
AETNA (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

Nurse Practitioner (License #1245103349 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Radiology (License #1417679762 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Clinic/Center (License #1245103449 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2025

Clinic/Center (License #1003647587 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Nurse Practitioner (License #11021418 in FL)

📍
Updated Practice Location June 25, 2025

Registered at 1442 NE 26TH ST, WILTON MANORS, FL 333051322 (Tel: 9543917160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2025

Clinic/Center (License #11021418 in FL)

📍
Updated Business Mailing Address September 15, 2024

Registered at 1442 NE 26TH ST, WILTON MANORS, FL 333051322 (Tel: 9543917160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Nurse Practitioner (License #11021418 in FL)

📍
Updated Practice Location October 16, 2023

Registered at 1442 NE26TH ST, WILTON MANORS, FL 333053330 (Tel: 9543917160)

📍
Updated Business Mailing Address October 16, 2023

Registered at 2225 NE 14TH AVE APT 1, WILTON MANORS, FL 333052305 (Tel: 7638434433)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Nurse Practitioner (License #11021418 in FL)

NPI Profile Active September 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2022

Registered at 500 SE 17TH ST STE 110, FORT LAUDERDALE, FL 333162547 (Tel: 9545331173)

📍
Updated Business Mailing Address September 14, 2022

Registered at 500 SE 17TH ST STE 110, FORT LAUDERDALE, FL 333162547 (Tel: 9545331173)

👤
Provider Name / Credentials Updated September 14, 2022

Recorded as KYLE OLEARY, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Family Medicine (License #11021418 in FL)

🟢
Initial NPI Registration & Enumeration September 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417679762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2022
Last Update: August 05, 2026
Sole Proprietor: Yes

Mailing Address

1442 Ne 26th St

Wilton Manors, FL 333051322

Phone: 9543917160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.