Individual provider Active NPI

Candace Ann Chauncy, APN

  • Acute Care Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1194090787
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
707321 Issued in TX
Practice address
6 Woodmont Crossing St
Texarkana, TX 75503-2100
Phone
(903) 826-4404
NPI assigned
Mar 14, 2012
Last updated
Jan 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 707321 TX Primary
Acute Care Nurse Practitioner 363LA2100X A03664 AR

Addresses

Primary practice location

6 Woodmont Crossing St
Texarkana, TX 75503-2100

Mailing address

6 Woodmont Crossing St
Texarkana, TX 75503-2100
Phone (903) 831-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120810000773 TX Practitioner - Nurse Practitioner 5890941546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Woodmont Crossing St
Texarkana, TX 75503-2100
Phone (903) 831-0161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03664ARMDAcute Care Nurse Practitioner
707321TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twice As Nice Medical Clinic Acute Care CurrentSince May 15, 2016 Accepting new patients
Seark Radiology PA Past Accepting new patients

Locations

5602 Richmond Rd
Ste 104
Texarkana, TX 75503
Phone (903) 826-4400

6 Woodmont Crossing St
Texarkana, TX 75503
Phone (903) 791-1044

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1194090787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODMONT CROSSING ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032100",
            "telephone_number": "903-831-0161",
            "fax_number": "903-831-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODMONT CROSSING ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032100",
            "telephone_number": "903-826-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUNCY",
        "first_name": "CANDACE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "707321",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A03664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.