Individual provider Active NPI

Candice Brianne Frost, APRN

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1013320373
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021423 Issued in NC
Practice address
2512 Independence Blvd Ste 100
Wilmington, NC 28412-0019
Phone
(910) 632-0133
Fax
(910) 919-5547
NPI assigned
Jun 4, 2014
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021423 NC Primary
Family Nurse Practitioner 363LF0000X A004095 AR

Addresses

Primary practice location

2512 Independence Blvd Ste 100
Wilmington, NC 28412-0019

Mailing address

2512 Independence Blvd Ste 100
Wilmington, NC 28412-0019
Phone (910) 632-0133

Other practice location 1

4600 Oleander Dr
Wilmington, NC 28403-5149
Phone (866) 389-2727

Other practice location 2

901 Dow Rd
Carolina Beach, NC 28428-4514
Phone (866) 389-2727

Other practice location 3

6901 Market St
Wilmington, NC 28411-9727
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
204689758MedicaidAR

Other names 1

  • Candice Burnside Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250708001717 NC Practitioner - Nurse Practitioner 5698993061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

4612 Main St
Shallotte, NC 28470-4452
Phone (910) 444-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A004095ARMDFamily Nurse Practitioner
5021423NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Quickcare Family Practice, PLLC CurrentSince Apr 18, 2025 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1013320373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 INDEPENDENCE BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120019",
            "telephone_number": "910-632-0133",
            "fax_number": "910-919-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 INDEPENDENCE BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120019",
            "telephone_number": "910-632-0133",
            "fax_number": "910-919-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Oleander Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035149",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Dow Rd",
            "address_purpose": "LOCATION",
            "city": "Carolina Beach",
            "state": "NC",
            "postal_code": "284284514",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119727",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "CANDICE",
        "middle_name": "BRIANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021423",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204689758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BURNSIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.