KANDI HOLLAND HUGHES CNP
NPI 1528696390
Nurse Practitioner - Family in Westerville, OH

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
6275 UPPER ALBANY CROSSING DR, WESTERVILLE, OH 43081(614) 204-5322 Get Directions Write a Review

NPPES record last updated: March 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kandi Holland Hughes Cnp NPPES

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

KANDI HOLLAND HUGHES CNP (NPI 1528696390) is an individual family provider in Westerville, Ohio, licensed in Ohio (026572) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Madison Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528696390
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKANDI HOLLAND HUGHESCredential: CNP
Location Address6275 UPPER ALBANY CROSSING DRWesterville, OH 43081-7568
Mailing Address6275 Upper Albany Crossing DrWesterville, OH 43081-7568 · (614) 204-5322
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2020
NPPES CertifiedMarch 29, 2020
✔ NPI 1528696390 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 OH · 026572
6275 UPPER ALBANY CROSSING DR, Westerville, OH 43081

Accepted Insurance

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

Kandi Holland Hughes Cnp 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 ID6507259629
PECOS Enrollment IDI20220211001324
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kandi Hughes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
3525 OLENTANGY RIVER RD, SUITE 4330
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 231 clinicians in this Medicare group
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 149 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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
489 services131 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
171 services87 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
25 services20 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Madison Health

Acute Care Hospitals · London, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360189
Location210 North Main StreetLondon, OH 43140 · Madison County
Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Kandi Hughes's NPI number?

The NPI number for Kandi Hughes is 1528696390. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Kandi Hughes located?

Kandi Hughes practices at 6275 Upper Albany Crossing Dr, Westerville, OH 43081. The listed phone number is (614) 204-5322.

What is Kandi Hughes's specialty?

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

Is Kandi Hughes enrolled in Medicare?

Yes. Kandi Hughes 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 organizations bill Medicare for Kandi Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandi Hughes reassigns Medicare benefits to 2 organizations: Central Ohio Hospitalists, Inc (Columbus, OH) and Pai Participant 1 LLC (Chillicothe, OH). 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 Kandi Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandi Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and Molina Healthcare list Kandi Hughes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kandi Hughes affiliated with any hospitals?

According to CMS data, Kandi Hughes is affiliated with Madison Health and Adena Fayette Medical Center.

When was this NPI record last updated?

The NPPES record for Kandi Hughes was last updated on March 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.