Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY VANDAELE
NPI 1578484572
Nurse Practitioner in Crestview, FL

Q: What is Sydney Vandaele's NPI number?

The NPI number for Sydney Vandaele is 1578484572. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Q: What is Sydney Vandaele's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sydney Vandaele was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 July 24, 2026PECOS Enrolled

302 E JAMES LEE BLVD, CRESTVIEW, FL 32539(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jul 24, 2026 (2 updates tracked since 2026).

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About Sydney Vandaele NPPES

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

SYDNEY VANDAELE (NPI 1578484572) is an individual nurse practitioner in Crestview, Florida, licensed in Florida (F07261006) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Crestview.

NPPES Registry Identity

NPI1578484572

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSYDNEY VANDAELE

Location Address302 E JAMES LEE BLVDCrestview, FL 32539-2827

Mailing Address206 Citadel LnCrestview, FL 32539-4359 · (309) 883-4042

Phone(866) 389-2727

Sole ProprietorYes

Enumeration DateJuly 24, 2026

Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1578484572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · F07261006

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

302 E JAMES LEE BLVD, Crestview, FL 32539

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Secondary Practice Location 1

Location 1500 Hospital DrCrestview, FL 32539-7355 · Phone (850) 689-3146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Vandaele is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32539 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 11

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

MRS. MICHELLE THERESE KOSKI ARNP

Nurse Practitioner (Family)