KANDISE J VANDYNE PMHNP
NPI 1104655893
Nurse Practitioner - Psychiatric/Mental Health in Artesia, NM
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kandise Vandyne Pmhnp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carlsbad, NM 88220
- Reassigned Medicare billing, New Mexico enrollment
- 322 clinicians in this Medicare group
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 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.
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.
ARTESIA, NM 88210
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 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.
Where is Kandise Vandyne Pmhnp located?
Kandise Vandyne Pmhnp practices at 1105 Memorial Dr, Artesia, NM 88210. The listed phone number is (575) 746-9848.
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.
Is Kandise Vandyne Pmhnp enrolled in Medicare?
Yes. Kandise Vandyne Pmhnp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kandise Vandyne Pmhnp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandise Vandyne Pmhnp reassigns Medicare benefits to Presbyterian Medical Services (Carlsbad, NM). 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 Kandise Vandyne Pmhnp'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 Kandise Vandyne Pmhnp was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kandise J Vandyne Pmhnp · NPI 1104655893
Psychiatric/Mental Health physician in Artesia, New Mexico. Individual provider, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1104655893 (Entity type: Individual)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 77982 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 MEMORIAL DR, Artesia, NM 88210-1189
- **Phone:** (575) 746-9848
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Medical Services (NPI 1629468830, Carlsbad, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104655893) · Data from the CMS NPPES public registry.