KANDY LIZZETH MEDINA PEREZ FNP-C
NPI 1972186138
Nurse Practitioner - Family in Surprise, AZ

Q: What is Kandy Medina Perez's NPI number?

The NPI number for Kandy Medina Perez is 1972186138. It was assigned to this individual provider in the NPPES registry on May 4, 2021. The provider is also known as Kandy Lizzeth Medina Perez.

Q: What is Kandy Medina Perez's specialty?

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

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment

13755 N LITCHFIELD RD STE 105, SURPRISE, AZ 85379(623) 248-7404(949) 437-2917 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Feb 7, 2022, Jan 27, 2022 and 2 more (5 updates tracked since 2021).

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About Kandy Lizzeth Medina Perez Fnp-c NPPES

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

KANDY LIZZETH MEDINA PEREZ FNP-C (NPI 1972186138) is an individual family provider in Surprise, Arizona, licensed in Arizona (RNP267355) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972186138

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKANDY LIZZETH MEDINA PEREZCredential: FNP-C

Location Address13755 N LITCHFIELD RD STE 105Surprise, AZ 85379-4288

Mailing Address7908 N Cotton LnWaddell, AZ 85355-9751 · (623) 512-8308

Phone(623) 248-7404

Fax(949) 437-2917

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 4, 2021

Last NPPES UpdateAugust 21, 20245 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1972186138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · RNP267355

Also ListedRegistered NurseTaxonomy 163W00000X · License RN211082 (AZ)

13755 N LITCHFIELD RD STE 105, Surprise, AZ 85379

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Other Names 1

Other Name (5)Kandy Lizzeth Medina Perez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kandy Lizzeth Medina Perez 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.

PECOS PAC ID244627347

PECOS Enrollment IDI20220517000941

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

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85379 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 8

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

WADDELL FAMILY CARE PLLC

Clinic/Center (Primary Care)