Candy Jacobson, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

200987 Issued in ND

Practice address

2721 Heritage Dr
Minot, ND 58703-1651

Phone

(701) 509-4573

NPI assigned

Sep 25, 2024

Last updated

Mar 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Candy Wormsbecker Former name

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23414/brand/1/csg/1/fhir/r4

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.

• Beyond Healthcare PLLC

  dba Beyond Healthcare

  • Primary Care Clinic/Center
  • Minot, ND
  • NPI 1811669633
  Medicare reassignment NPD
• Triple C Clinic PLLC

  • Family Nurse Practitioner
  • Minot, ND
  • NPI 1508450099
  Medicare reassignment NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1184441602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 HERITAGE DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031651",
            "telephone_number": "701-509-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 HERITAGE DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031651",
            "telephone_number": "701-509-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "CANDY",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ND",
            "license": "200987",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ND",
            "license": "200987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDY",
            "last_name": "WORMSBECKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Briana Jackson, M OTR/L
• Kelci Lee Jackson, AU.D.
• Stacey Jackson
• Michelle F Jacob, LSW
• Seelia Jacob, DO
• Adam Jangula
• Melissa Jansen
• Wayne L Jansen, MD
• Alona J Jarmin, RN, BSN, MSN
• Rachel A Jean-Pierre, LCSW

• Primary Care Nurse Practitioner in Minot, ND
• Providers in Minot, ND by specialty
• Primary Care Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.