KENDRA CLAUDE FUGATE – Family Nurse Practitioner, NPI 1639760010

KENDRA CLAUDE FUGATE is a healthcare provider. based in Lake city, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11013468 (FL). The NPI Number for KENDRA CLAUDE FUGATE is 1639760010

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA CLAUDE FUGATE
NPI
1639760010
Phone
(352) 375-1212
Address
3239 NW York Dr
Enumeration Date
28 January 2021
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4183024250
Group Practice PAC ID
5092132761
Professional Enrollment ID
I20210610001640
Address ID
FL326804364OL12XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for KENDRA CLAUDE FUGATE

  • 3239 NW York Dr

    Lake City, FL 320558641

    Phone: (352) 375-1212

    Fax: (352) 371-4650

    Type: Location

  • 4645 NW 8th Ave

    Gainesville, FL 326054687

    Phone: (352) 375-1212

    Fax: (352) 371-4650

    Type: Location

  • 1151 NW 64th Ter

    Gainesville, FL 326054218

    Phone: (352) 375-1212

    Fax: (352) 371-4650

    Type: Location

  • 23343 NW COUNTY ROAD 236

    HIGH SPRINGS, FL 326439669

    Phone:

    Type: Mailing

  • 630 N MAIN ST

    WILLISTON, FL 326961705

    Phone: (352) 463-4520

    Fax: (386) 454-8294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $2,405.

Total Amount is formed as General ($2,405) + Research ($0) + Ownership ($0) = $2,405.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medtronic, Inc. ($1,101).

Total Amount

$2,405

General + Research + Ownership

Payments

66

Total payment records

General Amount

$2,405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210610001640INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092132761View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What identifier follows KENDRA CLAUDE FUGATE across health systems?
The NPI 1639760010 uniquely identifies KENDRA CLAUDE FUGATE in U.S. healthcare data.
Quick check: is KENDRA CLAUDE FUGATE active?
Public NPPES data shows KENDRA CLAUDE FUGATE with an active NPI status right now.
What does the directory say KENDRA CLAUDE FUGATE does?
Insurance directories may phrase it differently, but here KENDRA CLAUDE FUGATE maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KENDRA CLAUDE FUGATE?
KENDRA CLAUDE FUGATE shows a connection to Lake City, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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