Candace Suzanne Ashley, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, AR
NPI 1053293134 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1053293134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 228955 (AR)
- Practice address
- 2810 Northeastern Ave
Jacksonville, AR 72076-2504 - Phone
- (501) 992-7046
- NPI assigned
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 Braden St
Jacksonville, AR 72076-3719
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260112002387 | AR | Practitioner - Nurse Practitioner | 4880170695 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228955 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Central Primary Care, PLLC | Single Specialty | Current |
Accepting new patients |
| Physicians Network Inc. | Single Specialty | Past | Accepting new patients |
Locations
1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 228955 | AR | Yes |
Addresses
Primary practice location
2810 Northeastern Ave
Jacksonville, AR 72076-2504
Mailing address
2810 Northeastern Ave
Jacksonville, AR 72076-2504
Phone (501) 992-7046
Other providers in Jacksonville, AR
- Arch Street LTC Pharmcy LLC
- Arkansas Central Primary Care, PLLC
- Arkansas Emergency Transport, LLC
- Arkansas Quick Care, PA
- Arkansas Renal Systems, Inc.
- Aspire Psychiatric Services, LLC
- Astounding Care Services
- Axpm- Jacksonville Dental PLLC
- Pamela Sue Bagwell
- Mary Bahan
All providers in Jacksonville, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.