Individual provider Active NPI

Candace C Wishon, NP

  • Adult Health Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1154540938
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
201253 Issued in NC
Practice address
970 Newman Rd
New Bern, NC 28562-5200
Phone
(252) 633-9262
Fax
(252) 317-2094
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 201253 NC Primary

Addresses

Primary practice location

970 Newman Rd
New Bern, NC 28562-5200

Mailing address

970 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-9262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwishon271456@upmc.direct-ci.com

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
I20230815000657 PA Practitioner - Nurse Practitioner 2860668910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1201 Grampian Blvd
Suite 1a
Williamsport, PA 17701-1965
Phone (570) 326-8080

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jul 31, 2023 Accepting new patients
Sunbury Clinic Company LLC Current Accepting new patients
Susquehanna Physician Services CurrentSince Jul 31, 2023 Accepting new patients

Locations

1 Outlet Ln
Ste 400
Lock Haven, PA 17745
Phone (570) 326-8080

330 N 12th St
Ste A
Sunbury, PA 17801
Phone (570) 286-0303

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Ste 1A
Williamsport, PA 17701
Phone (570) 326-8080

Interoperability endpoints

  • Direct secure messaging: cwishon271456@upmc.direct-ci.com
  • Direct secure messaging: candace.c.wishon@upmcdirect.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 and National Provider Directory roles.

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1154540938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHON",
        "first_name": "CANDACE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "201253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwishon271456@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.