Individual provider Active NPI

Candace G Lemke, N.P.

  • Family Nurse Practitioner
  • Warsaw, IN
National Provider Identifier
1043446776
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28159189A Issued in IN
Practice address
850 N Harrison St
Warsaw, IN 46580-3163
Phone
(574) 267-1700
NPI assigned
Jun 9, 2009
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 28159189A IN Primary

Addresses

Primary practice location

850 N Harrison St
Warsaw, IN 46580-3163

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169

Other practice location 1

3201 E Center Street Ext
Warsaw, IN 46582-3907
Phone (574) 267-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121026000740 IN Practitioner - Nurse Practitioner 7719137751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McArthur Mental Health ServicesGroup PAC ID 5698067320, 3 clinicians

Practice addresses (Care Compare)

3201 E Ctr St Ext
McArthur Counseling Center
Warsaw, IN 46582-3907
Phone (574) 267-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28159189AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Sep 15, 2012 Accepting new patients
McArthur Mental Health Services CurrentSince Apr 26, 2018 Accepting new patients
Bowen Health Inc CurrentSince Sep 15, 2012 Accepting new patients
McArthur Mental Health Services PastSince Apr 26, 2018 Accepting new patients

Locations

923 Cardinal Ct
Auburn, IN 46706
Phone (260) 925-8035

3120B Windsor Ct
Elkhart, IN 46514
Phone (574) 264-3344

2100 Goshen Rd
Fort Wayne, IN 46808
Phone (260) 471-3500

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

3201 E Center Street Ext
Warsaw, IN 46582
Phone (574) 253-2220

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

901 Anchorage Rd
Warsaw, IN 46580

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, 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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1043446776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HARRISON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803163",
            "telephone_number": "574-267-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 E Center Street Ext",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465823907",
            "country_code": "US",
            "telephone_number": "574-267-1700",
            "fax_number": "574-267-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "CANDACE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28159189A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.