Individual provider Active NPI

Candace Nicole Coffman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1144024290
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP032506 Issued in PA
Practice address
355 N 21St St Ste 306
Camp Hill, PA 17011-3707
Phone
(717) 516-5539
NPI assigned
Apr 1, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP032506 PA Primary

Addresses

Primary practice location

355 N 21St St Ste 306
Camp Hill, PA 17011-3707

Mailing address

1383 Wandering Way
Harrisburg, PA 17110-2968
Phone (267) 987-0655

Other practice location 1

911 Gibson Blvd
Steelton, PA 17113-1860
Phone (717) 462-7241 ext. 27241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250415000884 PA Practitioner - Nurse Practitioner 6002331832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sadler Health Center CorporationGroup PAC ID 4688646573, 15 clinicians
Mindsleep HealthGroup PAC ID 6002205572, 7 clinicians

Practice addresses (Care Compare)

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

355 N 21St St
Suite 306
Camp Hill, PA 17011-3707
Phone (717) 516-5539

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsleep Health CurrentSince Apr 21, 2025 Accepting new patients
Sadler Health Center Corporation CurrentSince Dec 22, 2025 Accepting new patients
Black Girl Health Foundation Inc CurrentSince Apr 9, 2025 Accepting new patients

Locations

355 N 21st St
Ste 306
Camp Hill, PA 17011
Phone (717) 516-5539

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

5246 Simpson Ferry Rd
Mechanicsburg, PA 17050
Phone (717) 516-5539

911 Gibson Blvd
Steelton, PA 17113
Phone (240) 299-6285

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1144024290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 WANDERING WAY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102968",
            "telephone_number": "267-987-0655",
            "fax_number": "717-303-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N 21ST ST STE 306",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170113707",
            "telephone_number": "717-516-5539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Gibson Blvd",
            "address_purpose": "LOCATION",
            "city": "Steelton",
            "state": "PA",
            "postal_code": "171131860",
            "country_code": "US",
            "telephone_number": "717-462-7241 x27241",
            "fax_number": "717-303-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP032506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.