Candice M Killeen, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

219646 Issued in AR

Practice address

10748 W High Meadows Dr
Rogers, AR 72756-8953

Phone

(479) 595-5484

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • West Fork, AR
  • NPI 1336986785

  Multi-Specialty

  Medicare reassignment NPD
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1821838996

  Multi-Specialty

  Medicare reassignment NPD
• Midwives of Northwest Arkansas PLLC

  • Advanced Practice Midwife
  • Rogers, AR
  • NPI 1427964469
  NPD (past) Authorized official
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Pea Ridge, AR
  • NPI 1669099073
  NPD
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
  • NPI 1700650249
  NPD
• St. Francis House Nwa, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1710160098

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1194423327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10748 W HIGH MEADOWS DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568953",
            "telephone_number": "479-595-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10748 W HIGH MEADOWS DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568953",
            "telephone_number": "479-595-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "CANDICE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "AR",
            "license": "219646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Moore Chiropractic, P.a.
• Brian Kent, PT, DPT
• Junaid Khan, M.D.
• Kids for the Future Rogers, Inc.
• Grace Kilgore, QBHP
• Jennie Lynn Killion, MS, LAC
• Kassidy Killman
• Susan Kilpatrick
• Susan Kimbrell, CNS
• Matthew C Kincade, M.D.

• Advanced Practice Midwife in Rogers, AR
• Providers in Rogers, AR by specialty
• Advanced Practice Midwife in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.