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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: November 08, 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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6305860818
PECOS Enrollment IDI20260803000335
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.

Medicare Billing Reassignment

Medicare enrollment records show Connie Kuykendall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
5.1 mi
Obstetrics & Gynecology
8599 HAVEN AVE STE 102&210
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1568113827 (909) 558-2806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Connie Kuykendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Kuykendall reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Rancho Cucamonga, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Kuykendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.