Individual provider Active NPI

Candace Jo Nicholas, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1184138349
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
274148 Issued in AZ
Practice address
8502 E Princess Dr Ste 200E
Scottsdale, AZ 85255-7802
Phone
(480) 563-2402
Fax
(844) 443-4378
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007702A IN
Family Nurse Practitioner 363LF0000X 274148 AZ Primary

Addresses

Primary practice location

8502 E Princess Dr Ste 200E
Scottsdale, AZ 85255-7802

Mailing address

8502 E Princess Dr Ste 200E
Scottsdale, AZ 85255-7802
Phone (480) 563-2402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250529002287 AZ Practitioner - Nurse Practitioner 3476811050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alante Primary Care and Palliative Services LLCGroup PAC ID 4183016769, 13 clinicians

Practice addresses (Care Compare)

8502 E Princess Dr
Suite 200E
Scottsdale, AZ 85255-7802
Phone (480) 631-4978

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alante Primary Care and Palliative Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Alante Primary Care W LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

825 S 94th St
Chandler, AZ 85224
Phone (480) 361-6636

5358 E Baseline Rd
Mesa, AZ 85206
Phone (480) 630-3005

17490 N 93rd St
Scottsdale, AZ 85255
Phone (480) 588-5386

8502 E Princess Dr
Ste 200E
Scottsdale, AZ 85255
Phone (480) 631-4978

14775 W Yorkshire Dr
Surprise, AZ 85374
Phone (623) 377-9698

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1184138349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 E PRINCESS DR STE 200E",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557802",
            "telephone_number": "480-563-2402",
            "fax_number": "844-443-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 E PRINCESS DR STE 200E",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557802",
            "telephone_number": "480-563-2402",
            "fax_number": "844-443-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "CANDACE",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007702A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "274148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.