Individual provider Active NPI

Candice Nelson Lewis, M.D.

  • Gynecologic Oncology Physician
  • Tucson, AZ
National Provider Identifier
1043234040
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
35595 Issued in AZ
Practice address
1845 W. Orange Grove
Building 2
Tucson, AZ 85704
Phone
(520) 531-8967
Fax
(520) 742-7180
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35595 AZ
Gynecologic Oncology Physician 207VX0201X 35595 AZ Primary

Addresses

Primary practice location

1845 W. Orange Grove
Building 2
Tucson, AZ 85704

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other identifiers 1

IdentifierTypeStateIssuer
111737MedicaidAZ

Other names 1

  • Candice Lynn Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000200 AZ Practitioner - Gynecological OncologyPractitioner - Hematology/Oncology 3971507971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Hematology/Oncology
Education
University of North Dakota School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Mar 6, 2025 Accepting new patients
Arizona Oncology Associates PC Specialist CurrentSince Jul 1, 2006 Accepting new patients
Arizona State Radiology, PC Past Accepting new patients

Locations

2951 N Swan Rd
Ste 155
Tucson, AZ 85712
Phone (520) 323-5900

10350 E Drexel Rd
Ste 250
Tucson, AZ 85747
Phone (520) 420-2540

1845 W Orange Grove Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 420-2875

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

1845 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 230-4900

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

2070 W Rudasill Rd
Ste 110
Tucson, AZ 85704
Phone (520) 797-3630

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

603 N Wilmot Rd
#151
Tucson, AZ 85711
Phone (520) 324-2535

Interoperability endpoints

  • Direct secure messaging: candice.lewis@aoa.ikm.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1043234040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W. ORANGE GROVE",
            "address_2": "BUILDING 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-531-8967",
            "fax_number": "520-742-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CANDICE",
        "middle_name": "NELSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "35595",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AZ",
            "license": "35595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "NELSON",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.