Individual provider Active NPI

Candice Jandes, FNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1114477437
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F1016331 Issued in OH
Practice address
7020 Copperglow CT
Cincinnati, OH 45244-3649
Phone
(513) 502-6604
NPI assigned
Oct 11, 2016
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 289460 OH
Nurse Practitioner 363L00000X F1016331 OH Primary

Addresses

Primary practice location

7020 Copperglow CT
Cincinnati, OH 45244-3649

Mailing address

7020 Copperglow CT
Cincinnati, OH 45244-3649
Phone (513) 502-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180214001514 OH Practitioner - Nurse Practitioner 1557621414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

210 N Union St
Bethel, OH 45106-1124
Phone (513) 734-9050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289460OHMDRegistered Nurse
F1016331OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2019 Accepting new patients
Trihealth G LLC Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Trihealth G LLC Past Accepting new patients

Locations

210 N Union St
Bethel, OH 45106
Phone (513) 734-9050

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

Interoperability endpoints

  • Direct secure messaging: cjandes267834@direct.trihealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1114477437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 COPPERGLOW CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443649",
            "telephone_number": "513-502-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 COPPERGLOW CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443649",
            "telephone_number": "513-502-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDES",
        "first_name": "CANDICE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "289460",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "F1016331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.