KIMBERLY B. MCCANDLESS ANP
NPI 1417289992
Nurse Practitioner - Adult Health in Springfield, MO
About Kimberly B. Mccandless Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY B. MCCANDLESS ANP (NPI 1417289992) is an individual adult health provider in Springfield, Missouri, licensed in Missouri (2005008103) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly B. Mccandless Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Mccandless reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Houston, TX 77002
- Reassigned Medicare billing, Hawaii enrollment
- 19 clinicians in this Medicare group
Northridge, CA 91325
- Reassigned Medicare billing, Hawaii enrollment
- 51 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Kimberly Mccandless's NPI number?
The NPI number for Kimberly Mccandless is 1417289992. It was assigned to this individual provider in the NPPES registry on February 8, 2010.
Where is Kimberly Mccandless located?
Kimberly Mccandless practices at 2115 S Fremont Ave Suite 4300, Springfield, MO 65804. The listed phone number is (417) 820-3911.
What is Kimberly Mccandless's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kimberly Mccandless enrolled in Medicare?
Yes. Kimberly Mccandless is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Mccandless's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mccandless reassigns Medicare benefits to 3 organizations: Mercy Clinic Springfield Communities (Springfield, MO), Golden State Imaging Associates Inc (Houston, TX) and Renaissance Imaging Medical Associates, Inc. (Northridge, CA). Each 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 Kimberly Mccandless'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 Kimberly Mccandless was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kimberly B. Mccandless, ANP · NPI 1417289992
Adult Health physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since February 8, 2010.
## Identity
- **NPI:** 1417289992 (Entity type: Individual)
- **Enumerated:** February 8, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2005008103 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2115 S FREMONT AVE, SUITE 4300, Springfield, MO 65804-2239
- **Phone:** (417) 820-3911 · **Fax:** (417) 820-3924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Golden State Imaging Associates Inc (NPI 1144872052, Houston, TX); Renaissance Imaging Medical Associates, Inc. (NPI 1487608931, Northridge, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2010
- **Other identifiers:** Medicare PIN # PENDING (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1417289992) · Data from the CMS NPPES public registry.