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

Kandise Rose Marie Mooneyham

Individual provider Family Nurse Practitioner · NPI 1962181115

Kandise Rose Marie Mooneyham is a Nurse Practitioner in Oswego, Illinois. Qualified in 2023, 3 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

80 Templeton Dr
Oswego, IL 60543-7000
Phone: (630) 554-3456
Fax: (630) 551-2970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2365 Monarchos Ln, Montgomery, IL 60538-3439 — (815) 575-5943

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028373 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041452140 (IL)

Record details

NPI number1962181115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2023
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients219
Services billed 600 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Advocate Health and Hospitals Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3079 clinicians in the practice; 12 are shown here.

Other providers in Oswego