KENDRA MAE POOLE APRN FNP-C
NPI 1700480662
Nurse Practitioner - Family in Princeton, IL
About Kendra Mae Poole Aprn Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA MAE POOLE APRN FNP-C (NPI 1700480662) is an individual family provider in Princeton, Illinois, licensed in Illinois (209.021604) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains a secondary practice location in Peru.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Kendra Mae Poole Aprn Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kendra Poole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princeton, IL 61356
- Reassigned Medicare billing, Illinois enrollment
- 3 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.
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, ILNorthwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kendra Poole's NPI number?
The NPI number for Kendra Poole is 1700480662. It was assigned to this individual provider in the NPPES registry on November 22, 2020. The provider is also known as Kendra Mae King.
Where is Kendra Poole located?
Kendra Poole practices at 334 Backbone Rd E, Princeton, IL 61356. The listed phone number is (815) 303-4668.
What is Kendra Poole's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kendra Poole enrolled in Medicare?
Yes. Kendra Poole 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 organization bills Medicare for Kendra Poole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Poole reassigns Medicare benefits to Bureau County Family Health (Princeton, IL). 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 Kendra Poole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendra Poole accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Kendra Poole 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 Kendra Poole affiliated with any hospitals?
According to CMS data, Kendra Poole is affiliated with Osf Saint Elizabeth Mdl Ctr, Northwestern Medicine Central Dupage Hospital and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Kendra Poole was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Kendra Mae Poole, APRN FNP-C · NPI 1700480662
Family physician in Princeton, Illinois. Individual provider, active in the CMS NPPES registry since November 22, 2020.
## Identity
- **NPI:** 1700480662 (Entity type: Individual)
- **Enumerated:** November 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.021604 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 334 BACKBONE RD E, Princeton, IL 61356-9685
- **Phone:** (815) 303-4668 · **Fax:** (949) 862-8061
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bureau County Family Health (NPI 1326877143, Princeton, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700480662) · Data from the CMS NPPES public registry.