Individual provider Active NPI

Candice Carter, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1023388683
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111325 Issued in NE
Practice address
14440 F St
Suite 121
Omaha, NE 68137-1007
Phone
(402) 934-8255
Fax
(402) 934-8257
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111325 NE Primary

Addresses

Primary practice location

14440 F St
Suite 121
Omaha, NE 68137-1007

Mailing address

8918 S 167TH St
Omaha, NE 68136-4300
Phone (402) 706-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20120220000060 NE Practitioner - Nurse Practitioner 9032381975 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111325NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Mar 1, 2023 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Father Flanagan'S Boys' Home CurrentSince Jun 1, 2017 Accepting new patients
Waybridge PC PastSince Feb 11, 2024 Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

717 N 190th Plz
Ste 2500
Elkhorn, NE 68022
Phone (402) 815-1915

717 N 190th Plz
Ste 24
Elkhorn, NE 68022
Phone (402) 815-1901

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Interoperability endpoints

  • Direct secure messaging: candice.carter@direct.nmhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1023388683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 S 167TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364300",
            "telephone_number": "402-706-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 F ST",
            "address_2": "SUITE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371007",
            "telephone_number": "402-934-8255",
            "fax_number": "402-934-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CANDICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.