Individual provider Active NPI

Kandice Renee Cole, APRN FNP-C

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1619512613
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3014046 Issued in KY
Practice address
2501 Kentucky Ave FL 6
Paducah, KY 42003-3813
Phone
(270) 415-6981
NPI assigned
Nov 13, 2019
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014046 KY Primary

Addresses

Primary practice location

2501 Kentucky Ave FL 6
Paducah, KY 42003-3813

Mailing address

904 Stonebrook Dr
Paducah, KY 42003-5095
Phone (270) 564-8303

Other names 1

  • Kandice Renee Skabo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kskabo01@continuecare.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20200410000078 KY Practitioner - Nurse Practitioner 1759710866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Medical Staffing PLLCGroup PAC ID 0345675005, 3 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
FL 5
Paducah, KY 42003-3813
Phone (270) 558-5456

2601 Kentucky Ave
Suite 103
Paducah, KY 42003-3817
Phone (270) 415-7653

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014046KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Medical Staffing PLLC Nurse Practitioner CurrentSince Feb 8, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Aug 20, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 20, 2024 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 632-1548

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2501 Kentucky Ave
Fl 5
Paducah, KY 42003
Phone (270) 558-5456

2501 Kentucky Ave
Fl 6
Paducah, KY 42003
Phone (270) 415-6981

Interoperability endpoints

  • Direct secure messaging: kskabo01@continuecare.net

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1619512613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 STONEBROOK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035095",
            "telephone_number": "270-564-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE FL 6",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-415-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KANDICE",
        "middle_name": "RENEE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kskabo01@continuecare.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2501 Kentucky Ave Fl 6",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KANDICE",
            "last_name": "SKABO",
            "middle_name": "RENEE",
            "credential": "APRN FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.