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CANDACE KETTLEHUT ARNP- FNP
NPI 1679031975
Nurse Practitioner in Orlando, FL

Active since March 05, 2019PECOS Enrolled
8956 TURKEY LAKE RD STE 100, ORLANDO, FL 32819(407) 774-3325 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Candace Kettlehut Arnp- Fnp NPPES

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

CANDACE KETTLEHUT ARNP- FNP (NPI 1679031975) is an individual nurse practitioner in Orlando, Florida, licensed in Florida (11001631) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679031975
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDACE KETTLEHUTCredential: ARNP- FNP
Location Address8956 TURKEY LAKE RD STE 100Orlando, FL 32819-7375
Mailing Address8956 Turkey Lake Rd Ste 100Orlando, FL 32819-7375
Phone(407) 774-3325
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 5, 2019
✔ NPI 1679031975 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 · 11001631
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.
8956 TURKEY LAKE RD STE 100, Orlando, FL 32819
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Kettlehut Arnp- Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618454067
PECOS Enrollment IDI20260116000809
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 Reassignment

Medicare enrollment records show Candace Kettlehut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Regenerative Medicine LLC
22 mi
Radiation Oncology
1985 LONGWOOD LAKE MARY RD STE 1007
Longwood, FL 32750
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1487520136 (212) 777-0187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 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.

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 Kettlehut's NPI number?

The NPI number for Candace Kettlehut is 1679031975. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Candace Kettlehut located?

Candace Kettlehut practices at 8956 Turkey Lake Rd Ste 100, Orlando, FL 32819. The listed phone number is (407) 774-3325.

What is Candace Kettlehut's specialty?

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

Is Candace Kettlehut enrolled in Medicare?

Yes. Candace Kettlehut is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Candace Kettlehut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Kettlehut reassigns Medicare benefits to Boston Regenerative Medicine LLC (Longwood, FL). The 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 Candace Kettlehut'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 Candace Kettlehut was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.