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CONNIE KUYKENDALL PMHNP-BC
NPI 1053280685
Nurse Practitioner - Psychiatric/Mental Health in Fontana, CA

Active since November 03, 2025PECOS Enrolled
7426 CHERRY AVE STE 210, FONTANA, CA 92336(909) 800-7025 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 19, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Connie Kuykendall Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE KUYKENDALL PMHNP-BC (NPI 1053280685) is an individual psychiatric/mental health provider in Fontana, California, licensed in California (95037472) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053280685
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCONNIE KUYKENDALLCredential: PMHNP-BC
Location Address7426 CHERRY AVE STE 210Fontana, CA 92336-4263
Mailing Address7426 Cherry Ave Ste 210Fontana, CA 92336-4263
Phone(909) 800-7025
Sole ProprietorYes
Enumeration DateNovember 3, 2025
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1053280685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95037472
7426 CHERRY AVE STE 210, Fontana, CA 92336
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Kuykendall Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. POONAM DINESH NATHA M.A.
Marriage & Family Therapist
7426 CHERRY AVE STE 210, #353
FONTANA, CA 92336
San Bernardino County (949) 378-3257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Kuykendall's NPI number?

The NPI number for Connie Kuykendall is 1053280685. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Connie Kuykendall located?

Connie Kuykendall practices at 7426 Cherry Ave Ste 210, Fontana, CA 92336. The listed phone number is (909) 800-7025.

What is Connie Kuykendall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Connie Kuykendall enrolled in Medicare?

Yes. Connie Kuykendall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Kuykendall was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.