Candice N Gremley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-002749 Issued in IL

Practice address

500 W Court St
Kankakee, IL 60901-3661

Phone

(815) 937-2100

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Candice N Budnieski Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

86.81

Improvement activities

40

Cost

77.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment
• Cep America - Illinois, LLP

  • Emergency Medicine Physician
  • Aurora, IL
  • NPI 1164975371
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Emergency Medicine Physicians of Blue Island, LLC

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1922465012
  NPD (past)
• Emergency Medicine Physicians of Kankakee County, LLC

  • Emergency Medicine Physician
  • Kankakee, IL
  • NPI 1689815318
  NPD (past)
• Usacs Integrated Acute Care Services of Illinois, LLC

  • Internal Medicine Physician
  • Blue Island, IL
  • NPI 1235654757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1609972645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013661",
            "telephone_number": "815-937-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013661",
            "telephone_number": "815-937-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMLEY",
        "first_name": "CANDICE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4622394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BUDNIESKI",
            "middle_name": "N",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richelle M Gosim, OTR/L
• Ayesha Gray
• Suzette Gray, MSW, LCSW
• Shannon Greenquist, FNP-BC
• Leanne Kay Gregoire, MSW/LSW
• Steven Anthony Groene
• Amanda L Gromnicki
• Stephanie E Grosso, PA-C
• Grow in Illinois
• Nicholas Guastalli, DO

• Physician Assistant in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.