Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candra Dawn Kronewitter

Individual provider Family Nurse Practitioner · NPI 1831788637

Candra Dawn Kronewitter is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2020, 6 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (618) 457-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 325 Tamarack Ln, O Fallon, IL 62269-2993 — (618) 624-2060

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209021730 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209021730 (IL)

Record details

NPI number1831788637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carbondale