Candice Jo Haddon, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112249 Issued in NE

Practice address

1305 Highway 6 34
Cambridge, NE 69022-6616

Phone

(308) 697-3329

Fax

(308) 697-4918

NPI assigned

Jun 30, 2017

Last updated

Jun 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

University of Nebraska College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cambridge Memorial Hospital IncGroup PAC ID 2466346077, shared by 6 NPIs, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri Valley Health System Hospital, Cambridge, NE, CCN 281348
• Community Hospital Hospital, McCook, NE, CCN 281363

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: candicehaddon@tvhs.medalliesdirect.net

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.

• Cambridge Memorial Hospital Inc

  dba Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
  • NPI 1548333214
  Medicare reassignment NPD
• Cambridge Memorial Hospital Inc

  • Family Medicine Physician
  • Cambridge, NE
  • NPI 1740462654
  Medicare reassignment NPD
• Cambridge Memorial Hospital Inc

  dba Indianola Medical Clinic

  • Rural Health Clinic/Center
  • Indianola, NE
  • NPI 1316034846
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cambridge Memorial Hospital Inc

  dba Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
  • NPI 1548333214
  Care Compare affiliation
• Community Hospital Association

  dba Community Hospital

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1174044036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 6 34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690226616",
            "telephone_number": "308-697-3329",
            "fax_number": "308-697-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 6 34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690226616",
            "telephone_number": "308-697-3329",
            "fax_number": "308-697-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDON",
        "first_name": "CANDICE",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11249",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Darlington Cope, DDS
• Lennie J Deaver, MD
• Michelle Elizabeth Dickes, OTR/L
• Jade Ehlert
• Lauren Rae Enochs
• Emma Hilker, CCC-SLP
• Shiuvaun M. Jaeger, M.D.
• Elisabeth Anne Johnson
• Nicole Ann Johnson, RP
• Rachelle A Kaspar-Cope, MD

• Nurse Practitioner in Cambridge, NE
• Providers in Cambridge, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.