KANDISE J VANDYNE PMHNP
NPI 1104655893
Nurse Practitioner - Psychiatric/Mental Health in Artesia, NM

Q: What is Kandise Vandyne Pmhnp's NPI number?

The NPI number for Kandise Vandyne Pmhnp is 1104655893. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Q: What is Kandise Vandyne Pmhnp's specialty?

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

Active since July 30, 2024PECOS EnrolledAccepts Medicare Assignment

1105 MEMORIAL DR, ARTESIA, NM 88210(575) 746-9848 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Jul 30, 2024 (2 updates tracked since 2024).

On this page

About Kandise J Vandyne Pmhnp NPPES

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

KANDISE J VANDYNE PMHNP (NPI 1104655893) is an individual psychiatric/mental health provider in Artesia, New Mexico, licensed in New Mexico (77982) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carlsbad, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104655893

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKANDISE J VANDYNE PMHNP

Location Address1105 MEMORIAL DRArtesia, NM 88210-1189

Mailing Address1105 Memorial DrArtesia, NM 88210-1189 · (970) 623-3542

Phone(575) 746-9848

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 30, 2024

Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1104655893 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 NM · 77982

1105 MEMORIAL DR, Artesia, NM 88210

Open in Google Maps ↗

Secondary Practice Location 1

Location 1914 N Canal StCarlsbad, NM 88220-5110 · Phone (575) 885-4836

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kandise J Vandyne Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729529896

PECOS Enrollment IDI20240917004024

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 88210 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 20

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

NANCY L DUNNAHOO LMHC, LADAC

Counselor (Mental Health)