Active NPI
Candace M Kernell, CFNP
- Nurse Practitioner
- Fort Sumner, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 59801
- Practice address
- 546 N. 10TH Street
Fort Sumner, NM 88119-0349 - Phone
- (575) 355-2414
- Fax
- (575) 355-7894
- NPI assigned
- Sep 12, 2019
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 856514 | TX | |
| Nurse Practitioner | 363L00000X | AP143246 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP143246 | TX | |
| Nurse Practitioner | 363L00000X | 59801 | NM | Primary |
Addresses
Primary practice location
546 N. 10TH Street
Fort Sumner, NM 88119-0349
Mailing address
546 N. 10TH Street
Fort Sumner, NM 88119-0349
Phone (575) 355-2414
Other practice location 1
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candace.lyssy@direct.myteamcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
1001 Sumner Ave
De Baca Family Practice/ SBHC
Fort Sumner, NM 88119-0349
Phone (575) 355-4431
546 N 10TH St
Fort Sumner, NM 88119
Phone (575) 355-2414
PO Box
Suite 349
Fort Sumner, NM 88119
PO Box
Suite 349
Fort Sumner, NM 88119-0349
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856514 | TX | MD | Registered Nurse |
| 59801 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Baca Family Practice Clinic | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| De Baca Family Practice Clinic | Current | Accepting new patients | |
| De Baca Family Practice Clinic | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Interoperability endpoints
- candace.lyssy@direct.myteamcare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DGGJCD
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Fort Sumner, NM
- NPI 1003855032
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
dba De Baca Family Practice Clinic/Mobile Unit
- Federally Qualified Health Center (FQHC)
- Fort Sumner, NM
- NPI 1114737483
-
dba De Baca Family Practice Clinic/School Site
- Federally Qualified Health Center (FQHC)
- Fort Sumner, NM
- NPI 1699082644
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
dba TTUHSC/ Oncology
- Medical Oncology Physician
- Lubbock, TX
- NPI 1790734085
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guadalupe County Hospital
- Emergency Care Clinic/Center
- Santa Rosa, NM
- NPI 1346249968
Hospital
-
dba Excelacare Home Health
- Home Health Agency
- Clovis, NM
- NPI 1134174063
-
dba Plains Regional Medical Center
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1770133746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 N. 10TH STREET",
"city": "FORT SUMNER",
"state": "NM",
"postal_code": "881190349",
"telephone_number": "575-355-2414",
"fax_number": "575-355-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 N. 10TH STREET",
"city": "FORT SUMNER",
"state": "NM",
"postal_code": "881190349",
"telephone_number": "575-355-2414",
"fax_number": "575-355-7894"
}
],
"practiceLocations": [
{
"address_1": "602 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794153364",
"country_code": "US",
"telephone_number": "806-775-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERNELL",
"first_name": "CANDACE",
"middle_name": "M",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2024-07-26",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "856514",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP143246",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP143246",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "59801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "candace.lyssy@direct.myteamcare.com",
"affiliation": "N",
"address_1": "602 Indiana Ave",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794153364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Sumner, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.