Individual provider Active NPI

Candice Jusel Anderson, CNM

  • Advanced Practice Midwife
  • Coral Springs, FL
National Provider Identifier
1225738990
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11024686 Issued in FL
Practice address
8110 Royal Palm Blvd Ste 108
Coral Springs, FL 33065-5742
Phone
(954) 341-8288
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 11024686 FL Primary

Addresses

Primary practice location

8110 Royal Palm Blvd Ste 108
Coral Springs, FL 33065-5742

Mailing address

8110 Royal Palm Blvd Ste 108
Coral Springs, FL 33065-5742
Phone (954) 341-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230511001011 FL Practitioner - Certified Nurse Midwife (CNM) 4385000686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women's Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5742
Phone (954) 341-8288

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
80
Promoting interoperability
99
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11024686FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women's Health and Body, LLC CurrentSince May 8, 2023 Accepting new patients
Seth J Herbst MD PA PastSince May 15, 1997 Accepting new patients

Locations

8110 Royal Palm Blvd
Ste 108
Coral Springs, FL 33065
Phone (954) 341-8288

7251 N State Road 7
Parkland, FL 33073
Phone (954) 341-8288

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: candice.anderson@hca4.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1225738990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD STE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655742",
            "telephone_number": "954-341-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD STE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655742",
            "telephone_number": "954-341-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CANDICE",
        "middle_name": "JUSEL",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11024686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.