Candace Crystal Kudla, APRN in Pontiac, IL - Medicare Nurse Practitioner

Candace Crystal Kudla, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Pontiac, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint James Hospital and her current practice location is 1506 W Reynolds St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 844-6123.

Candace Crystal Kudla is licensed to practice in Illinois (license number 209023553) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447929914.

Contact Information

	Candace Crystal Kudla, APRN
	1506 W Reynolds St, Pontiac, IL 61764-9674
	(815) 844-6123
	(815) 844-3897

Map and Direction

Provider's Profile

Full Name	Candace Crystal Kudla
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1506 W Reynolds St, Pontiac, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Candace Crystal Kudla graduated from nursing school in 2021

NPI Data:

NPI Number: 1447929914
Provider Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3577954940
Enrollment ID: I20211217001758

Medical Identifiers

Medical identifiers for Candace Crystal Kudla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447929914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	209023553 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint James Hospital	Pontiac, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint James Hospital	0648187252	61

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Candace Crystal Kudla allows following entities to bill medicare on her behalf.

Entity Name	Saint James Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Crystal Kudla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Candace Crystal Kudla, APRN 500 S Redbud Ln, Flanagan, IL 61740-9111 Ph: (815) 257-1237	Candace Crystal Kudla, APRN 1506 W Reynolds St, Pontiac, IL 61764-9674 Ph: (815) 844-6123

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, IL

Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715
Cheryle Diana Strother, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942
Lorrie R. Harmon, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 Fax: 815-842-4587
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152
Andrea Mclean, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764 Phone: 815-842-4501
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309

Candace Crystal Kudla, APRN - Medicare Nurse Practitioner in Pontiac, IL