Individual provider Active NPI

Candice Hamre, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1134833569
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209579 Issued in OK
Practice address
2508 N Harrison St
Shawnee, OK 74804-3131
Phone
(405) 585-2030
Fax
(405) 857-3122
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 209579 OK Primary

Addresses

Primary practice location

2508 N Harrison St
Shawnee, OK 74804-3131

Mailing address

2508 N Harrison St
Shawnee, OK 74804-3131
Phone (405) 585-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230403001818 OK Practitioner - Nurse Practitioner 2961877071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Medical Management LLCGroup PAC ID 4183856784, 5 clinicians

Practice addresses (Care Compare)

2508 N Harrison St
Shawnee, OK 74804-3131
Phone (405) 585-2030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Management LLC CurrentSince Feb 6, 2024 Accepting new patients
Icare Center LLC CurrentSince Jan 5, 2023 Accepting new patients
Advance Physicians Group PastSince Oct 6, 2025 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

404 W Main St
Davis, OK 73030
Phone (405) 391-5526

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

2508 N Harrison St
Shawnee, OK 74804
Phone (405) 395-5836

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1134833569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043131",
            "telephone_number": "405-585-2030",
            "fax_number": "405-857-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043131",
            "telephone_number": "405-585-2030",
            "fax_number": "405-857-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRE",
        "first_name": "CANDICE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.