KANDACE L DESADIER NP
NPI 1356017016
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Kandace Desadier's NPI number?

The NPI number for Kandace Desadier is 1356017016. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Q: What is Kandace Desadier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kandace Desadier was last updated on November 21, 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.

Active since August 20, 2021PECOS Enrolled

11020 PENDLETON PIKE, INDIANAPOLIS, IN 46236(317) 806-1140(317) 934-7855 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, Nov 10, 2025, May 22, 2023 and 3 more (6 updates tracked since 2021).

On this page

About Kandace L Desadier Np NPPES

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

KANDACE L DESADIER NP (NPI 1356017016) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71011681A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356017016

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKANDACE L DESADIERCredential: NP

Location Address11020 PENDLETON PIKEIndianapolis, IN 46236-2817

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(317) 806-1140

Fax(317) 934-7855

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 20, 2021

Last NPPES UpdateNovember 21, 20256 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1356017016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71011681A

11020 PENDLETON PIKE, Indianapolis, IN 46236

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Secondary Practice Location 1

Location 17320 E 86th St Ste 100Indianapolis, IN 46256-1250 · Phone (463) 999-9179 · Fax (463) 254-0140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kandace L Desadier Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406254341

PECOS Enrollment IDI20211007001860, I20260211002032, I20260213000432

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46236 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 13

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

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