Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124748405 Individual Practitioner Female Practitioner

Kendall Christidis

Nurse Practitioner - Pediatrics • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Kendall Christidis is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Beloit, WI. Practice services are available at 74 ECLIPSE CTR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

74 Eclipse Ctr

Beloit, WI 535113550

Telephone 6083610311
Fax 6083610312
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Beloit, WI (408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-30
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WI 14537-33

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License IL 209025846

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Carol Plante , MD

Counselor - Mental Health

NPI 1003923616

Doctor of Medicine (M.D.)

Dr. Mihaela Popa , DMD

Dentist - General Practice

NPI 1013101047

Doctor of Dental Medicine

Jennifer Hoerth

Dental Hygienist

NPI 1063863769
Vicki Smythe , PA-C

Physician Assistant - Medical

NPI 1073630711

Physician Assistant (Certified)

Mary Whitney-Hartje

Dental Hygienist

NPI 1073922803
Jackie Zakarija

Counselor - Mental Health

NPI 1114607744

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 29, 2023

Registered at 74 ECLIPSE CTR, BELOIT, WI 535113550 (Tel: 6083610311)

📍
Updated Business Mailing Address November 29, 2023

Registered at 74 ECLIPSE CTR, BELOIT, WI 535113550 (Tel: 6083610311)

NPI Profile Active September 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2022

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

📍
Updated Business Mailing Address September 08, 2022

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

👤
Provider Name / Credentials Updated September 08, 2022

Recorded as KENDALL CHRISTIDIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Nurse Practitioner (License #209025846 in IL)

🟢
Initial NPI Registration & Enumeration August 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124748405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2022
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

74 Eclipse Ctr

Beloit, WI 535113550

Phone: 6083610311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.