Candace Nicole Dixon, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-80820-112 Issued in KS

Practice address

423 N McLean Blvd Ste 218
Wichita, KS 67203-5964

Phone

(316) 247-1147

Fax

(218) 610-2047

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Candace Nicole Diemart Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

University of Missouri, Kansas City, School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Mental Health Counseling Center, IncGroup PAC ID 3375437973, 27 clinicians

Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kansas Mental Health Medicine LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1629535265
  Medicare reassignment Care Compare group NPD
• South Central Mental Health Counseling Center, Inc.

  • Mental Health Counselor
  • El Dorado, KS
  • NPI 1538155882
  Medicare reassignment Care Compare group NPD
• Fireweed Psychiatry Ict LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1598631780

  Psychiatric/Mental Health

  NPD Authorized official
• South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
  • NPI 1891561858
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1043961246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 218",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-247-1147",
            "fax_number": "218-610-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 218",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-247-1147",
            "fax_number": "218-610-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80820-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "DIEMART",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diversified Family Services LLC
• Divine Care Homes LLC
• Amanda Gail Divine, NURSE
• Jerad Chance Divine, D.D.S.
• Sapana Dixit, RPT
• Ceandra Dixon
• Daeauna Dixon
• David Dixon, ARNP
• David M Dixon, PHARMD
• Deanna Michelle Dixon, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.