MRS. CASSANDRA KONDYLIS ACNPC-AG
NPI 1114605250
Nurse Practitioner - Adult Health in West Bloomfield, MI
About Mrs. Cassandra Kondylis Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CASSANDRA KONDYLIS ACNPC-AG (NPI 1114605250) is an individual adult health provider in West Bloomfield, Michigan, licensed in Michigan (4704425980) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Kent State University College Of Podiatric Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mrs. Cassandra Kondylis Acnpc-ag 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 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.
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
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 Cassandra Kondylis's NPI number?
The NPI number for Cassandra Kondylis is 1114605250. It was assigned to this individual provider in the NPPES registry on July 10, 2023.
Where is Cassandra Kondylis located?
Cassandra Kondylis practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (800) 653-6568.
What is Cassandra Kondylis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Cassandra Kondylis enrolled in Medicare?
Yes. Cassandra Kondylis 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.
When was this NPI record last updated?
The NPPES record for Cassandra Kondylis was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Cassandra Kondylis, ACNPC-AG · NPI 1114605250
Adult Health physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1114605250 (Entity type: Individual)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704425980 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 6777 W MAPLE RD, West Bloomfield, MI 48322-3013
- **Phone:** (800) 653-6568
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Kent State University College Of Podiatric Medicine, class of 2023
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114605250) · Data from the CMS NPPES public registry.