KYNDAL BROWN – Family Nurse Practitioner, NPI 1093332553

KYNDAL BROWN is a healthcare provider. based in Carrollton, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.021542 (IL). The NPI Number for KYNDAL BROWN is 1093332553

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KYNDAL BROWN
NPI
1093332553
Phone
(618) 535-3860
Address
250 N US HIGHWAY 67
Enumeration Date
1 July 2020
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9830517812
Group Practice PAC ID
8123085560
Professional Enrollment ID
I20200909000447
Address ID
IL620161498CA800XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KYNDAL BROWN

  • 250 N US HIGHWAY 67

    CARROLLTON, IL 620162103

    Phone: (618) 535-3860

    Type: Mailing

  • 800 SCHOOL ST

    CARROLLTON, IL 620161436

    Phone: (217) 942-6946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-09

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
I20200909000447INurse PractitionerILTBD

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 62016)

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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: 8123085560View full group profile
NameSpecialtyState
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Diagnostic RadiologyIL
Internal MedicineIL
Emergency MedicineMO
-IL
Interventional CardiologyGA
-IL

Reviews

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Frequently asked questions

What is the standard ID for KYNDAL BROWN in the U.S.?
In the U.S., KYNDAL BROWN is identified by NPI 1093332553.
Should I treat KYNDAL BROWN as an active provider?
Patients and plans typically see KYNDAL BROWN as active in the national extract.
Which specialty label fits KYNDAL BROWN?
NPPES ties KYNDAL BROWN to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KYNDAL BROWN?
KYNDAL BROWN is associated with Carrollton, Illinois in the same public data insurers reference.
Why is information missing for KYNDAL BROWN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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