KANDICE WILLIS (PA-C) – Medical Physician Assistant, NPI 1811281520

KANDICE WILLIS (PA-C) is a healthcare provider. based in Palatine, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085001815 (IL). The NPI Number for KANDICE WILLIS (PA-C) is 1811281520

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KANDICE WILLIS (PA-C)
NPI
1811281520
Phone
(847) 776-1400
Address
909 E PALATINE RD
Enumeration Date
31 May 2011
Last Update Date
1 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303206871
Graduation Year
2008 (18 years ago)
PAC ID
5092993105
Group Practice PAC ID
4981988771
Professional Enrollment ID
I20110620000455
Address ID
IL601813952OA1XXXXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KANDICE WILLIS (PA-C)

  • 909 E PALATINE RD

    PALATINE, IL 600745551

    Phone: (847) 776-1400

    Fax: (847) 776-1424

    Mailing address matches the actual address.

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Lilly USA, LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$17
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: 2011-06-20

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
I20110620000455IPhysician AssistantILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,531141$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes17980$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8989$0
View full utilization report →

Insurance plans in this area (ZIP 60074)

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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: 4981988771View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Pain ManagementIN
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationTX
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

Can I verify KANDICE WILLIS (PA-C) with an NPI only?
You can start verification with NPI 1811281520 for KANDICE WILLIS (PA-C), then check state licensing separately.
Does CMS list KANDICE WILLIS (PA-C) as active?
Yes — KANDICE WILLIS (PA-C) is active in the NPI listing used on this page.
What is KANDICE WILLIS (PA-C) best known for clinically?
Directory data describes KANDICE WILLIS (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KANDICE WILLIS (PA-C) based?
KANDICE WILLIS (PA-C) is tied to Palatine, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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