Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candra Dawn Kronewitter

Individual provider Family Nurse Practitioner · NPI 1831788637

Candra Dawn Kronewitter is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2020, 6 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (618) 457-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 325 Tamarack Ln, O Fallon, IL 62269-2993 — (618) 624-2060

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209021730 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209021730 (IL)

Record details

NPI number1831788637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address305 W Jackson St Ste 206, Carbondale, IL 62901-1474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carbondale