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KENDRA MAE POOLE APRN FNP-C
NPI 1700480662
Nurse Practitioner - Family in Princeton, IL

Active since November 22, 2020PECOS Enrolled
334 BACKBONE RD E, PRINCETON, IL 61356(815) 303-4668(949) 862-8061 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Feb 20, 2025, Jul 12, 2022 and 1 more (4 updates tracked since 2020).

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 and maintains a secondary practice location in Peru.

NPPES Registry Identity

NPI1700480662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA MAE POOLECredential: APRN FNP-C
Location Address334 BACKBONE RD EPrinceton, IL 61356-9685
Mailing Address2222 4th StPeru, IL 61354-3213 · (815) 719-5051
Phone(815) 303-4668
Fax(949) 862-8061
Sole ProprietorYes
Enumeration DateNovember 22, 2020
Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1700480662 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 IL · 209.021604
334 BACKBONE RD E, Princeton, IL 61356
Open in Google Maps ↗

Other Names 1

Former Name (1)Kendra Mae King

Secondary Practice Location 1

Location 12222 4th StPeru, IL 61354-3213 · Phone (815) 719-5051

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Mae Poole Aprn Fnp-c 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 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.
13 services13 patients

Physician 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.

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 4

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

PRINCETON FAMILY DENTISTRY, LTD
Dentist (General Practice)
334 BACKBONE RD E
PRINCETON, IL 61356
Bureau County (815) 875-1183
CATCHING JOY MIDWIFERY
Advanced Practice Midwife
334 BACKBONE RD E
PRINCETON, IL 61356
Bureau County (815) 221-4023
KENDRA POOLE INC
Nurse Practitioner (Family)
334 BACKBONE RD E
PRINCETON, IL 61356
Bureau County (815) 303-4668
ANGELA REIDNER RN, MS, CNM
Advanced Practice Midwife
334 BACKBONE RD E
PRINCETON, IL 61356
Bureau County (815) 221-4023

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 enrollment system.

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 16 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.