KYLE KAPPES
NPI 1255961470
Nurse Practitioner - Family in Champaign, IL
NPI Status: Active since January 16, 2020
Contact Information
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
ZIP 61822
Phone: (217) 366-1243
Fax: (217) 366-1220
- Individual
- Male
- Years of Experience 6
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KYLE KAPPES
This page provides the complete NPI Profile along with additional information for Kyle Kappes, a provider established in Champaign, Illinois with a medical specialization in Nurse Practitioner, focusing in family and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1255961470 assigned on January 2020. The practitioner's primary taxonomy code is 363LF0000X with license number 209021566 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1255961470
- Provider Name
- KYLE KAPPES
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822
- Location Phone
- (217) 366-1243
- Location Fax
- (217) 366-1220
- Mailing Address
- 101 W UNIVERSITY AVE CHAMPAIGN, IL 61820
- Mailing Phone
- (217) 366-1243
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-16-2020
- Last Update Date
- 01-05-2022
- Code Navigator
A nurse practitioner (NP) like Kyle Kappes is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209021566
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kyle Kappes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kyle Kappes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2567889819
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200901001276
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Diagnostic exam of nasal passages using an endoscope
Diagnostic exam of voice box using a flexible endoscope
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Exam of the nose and throat using an endoscope
Ige (immune system protein) level
Insertion of needle into vein for collection of blood sample
Measurement of antibody (ige) to allergic substance, crude allergen extract, each
New patient office or other outpatient visit, 30-44 minutes
Professional service for preparation and provision of 1 or more antigens
Removal of impacted ear wax
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
This service was performed 53 times for 46 patientsThis procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
This service was performed 57 times for 50 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 64 times for 55 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 229 times for 176 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 24 times for 24 patientsAn endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
This service was performed 24 times for 23 patientsThe IgE level test measures the amount of immunoglobulin E, a type of antibody, in your blood. It's used to help diagnose allergies or asthma. A high IgE level can indicate an allergic reaction or immune system disorder. It's a simple blood test.
This service was performed 17 times for 17 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 21 times for 21 patientsThis procedure measures the level of IgE antibodies in your blood that react to a specific allergen. It's done using a crude allergen extract. The test helps determine your sensitivity to certain allergens, aiding in diagnosis and treatment of allergies.
This service was performed 640 times for 17 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 72 times for 72 patientsThis service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
This service was performed 265 times for 12 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 138 times for 96 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.42 for a new patient copayment and $24.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 61822 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 5 | 5 | 9 | 6 | 1 | 4 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 18 | 6 | 2 | 4 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 2 + 4 + 1 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1255961470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1295328896 | CHRISTIE CLINIC, LLC Organization | Durable Medical Equipment & Medical Supplies | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-4000 |
1023370699 | JESSICA SORENSEN PA Individual | Physician Assistant | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1228 |
1053737643 | PARIN PATEL DO Individual | Urology | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1240 |
1063420370 | DR. DAVENDRA P. RAMKUMAR M.D. Individual | Internal Medicine (Gastroenterology) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-6212 |
1063420461 | DR. WILLIAM L. PIERCE JR. D.P.M. Individual | Podiatrist | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-5418 |
1104833664 | MR. MICHAEL BROWN AUDIOLOGIST Individual | Audiologist | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1243 |
1184606790 | ROBERT P CUSICK M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1237 |
1184631731 | LAURA J SCHWENKER AUD. Individual | Audiologist | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1243 |
1235414715 | RYAN SNOWDEN PA Individual | Physician Assistant | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1237 |
1255607248 | DR. NIRMAL GOKARN M.D. Individual | Surgery | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1228 |
1306208640 | NATHAN ACKERMAN Individual | Otolaryngology | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1243 |
1356897003 | EMILY FOERTSCH NP Individual | Nurse Practitioner (Family) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1237 |
1467858308 | KELLY MAE GUZLAS Individual | Nurse Practitioner (Family) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-6162 |
1518064062 | DR. ERIC P HELFER M.D. Individual | Urology | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1240 |
1538168786 | DR. EDWARD H. KOLB M.D. Individual | Orthopaedic Surgery | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1237 |
1538268628 | QAZI E KHUSRO M.D. Individual | Internal Medicine (Gastroenterology) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-5642 |
1588672802 | DR. JOHN S. REGAN M.D. Individual | Urology | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1240 |
1609860782 | MR. GREGORY LEE MARTINDILL PA Individual | Physician Assistant | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-6162 |
1629085212 | DR. CLAUDIA NUGENT M.D. Individual | Internal Medicine (Gastroenterology) | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-6162 |
1649287210 | DR. DOUGLAS J. JONES M.D. Individual | Surgery | 3101 FIELDS SOUTH DR CHAMPAIGN, IL 61822 (217) 366-1228 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255961470, enumerated in the NPI registry as an "individual" on January 16, 2020
The provider is located at 3101 Fields South Dr Champaign, Il 61822 and the phone number is (217) 366-1243
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 6 years of experience.
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Diagnostic exam of nasal passages using an endoscope, Diagnostic exam of voice box using a flexible endoscope, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Exam of the nose and throat using an endoscope, Ige (immune system protein) level, Insertion of needle into vein for collection of blood sample, Measurement of antibody (ige) to allergic substance, crude allergen extract, each, New patient office or other outpatient visit, 30-44 minutes, Professional service for preparation and provision of 1 or more antigens and Removal of impacted ear wax.
This NPI record was last updated on January 16, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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