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CANDACE CRYSTAL KUDLA APRN
NPI 1447929914
Nurse Practitioner - Primary Care in Pontiac, IL

Active since September 08, 2021PECOS EnrolledAccepts Medicare Assignment
1506 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-6123(815) 844-3897 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Crystal Kudla Aprn NPPES

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

CANDACE CRYSTAL KUDLA APRN (NPI 1447929914) is an individual primary care provider in Pontiac, Illinois, licensed in Illinois (209023553) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447929914
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCANDACE CRYSTAL KUDLACredential: APRN
Location Address1506 W REYNOLDS STPontiac, IL 61764-9674
Mailing Address500 S Redbud LnFlanagan, IL 61740-9111 · (815) 257-1237
Phone(815) 844-6123
Fax(815) 844-3897
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1447929914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209023553
1506 W REYNOLDS ST, Pontiac, IL 61764
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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

Candace Crystal Kudla Aprn 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 ID3577954940
PECOS Enrollment IDI20211217001758
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 10

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

TOM MURPHY
Family Medicine
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
CALVIN MOY MD
Family Medicine
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
SAINT JAMES HOSPITAL
Clinic/Center (Rural Health)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
KELSEY WALKER APRN
Nurse Practitioner (Family)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
CRYSTAL ANN CARGILL APN, NP-BC
Nurse Practitioner (Family)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-3897
MRS. GLORIA ANN PRZYGODA DNP, FNP-BC
Nurse Practitioner (Family)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
MS. SHARON R. WISSLER CNP
Nurse Practitioner
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123
ANGELITO FERNANDEZ
Family Medicine
1506 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 844-6123

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 Candace Kudla's NPI number?

The NPI number for Candace Kudla is 1447929914. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Candace Kudla located?

Candace Kudla practices at 1506 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-6123.

What is Candace Kudla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Candace Kudla enrolled in Medicare?

Yes. Candace Kudla 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.

Is Candace Kudla affiliated with any hospitals?

According to CMS data, Candace Kudla is affiliated with Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Candace Kudla was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.