Individual provider Active NPI

Candice Sandra Schrodetzki, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1235630427
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136702 Issued in TX
Practice address
700 SE Inner Loop
Georgetown, TX 78626
Phone
(512) 891-9400
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018603 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136702 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14503 CT

Addresses

Primary practice location

700 SE Inner Loop
Georgetown, TX 78626

Mailing address

3315 Pebble Beach Blvd
Montgomery, TX 77356-5373
Phone (510) 493-1240

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Other identifiers 1

IdentifierTypeStateIssuer
AP136702OtherTXTEXAS BOARD OF NURSING APRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, UT, NC, NM, AR, TN, IA, AL, SD, LA, OK, NY, CA, CT, ID, IL, FL18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
I20180614002612 TX Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 5 organizations
I20220930001780 CO Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250102003164 UT Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 2 organizations
I20250611000040 NC Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250611000433 NM Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 3 organizations
I20250612002613 AR Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250613002223 TN Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250613002338 IA Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250613002512 AL Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250620000626 SD Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250714001326 LA Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250714001500 OK Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250724000736 NY Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250917001728 CA Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20250923001677 CT Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20251028003579 ID Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization
I20251217004431 IL Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 2 organizations
I20260427003177 FL Practitioner - Nurse Practitioner 1052666047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (512) 777-2591

401 9TH St
Lacon, IL 61540-1140
Phone (866) 959-2008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14503CTMDPsychiatric/Mental Health Nurse Practitioner
AP136702TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 19, 2019 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Nov 21, 2025 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 19, 2019 Accepting new patients
Rock Springs Physician Group LLC Psychiatric/Mental Health CurrentSince May 6, 2018 Accepting new patients
Forefront Telecare Inc CurrentSince Sep 12, 2025 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Jun 6, 2025 Accepting new patients
Access Telecare California, P.C. Nurse Practitioner CurrentSince Jul 5, 2025 Accepting new patients
Lipov Medical SC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Numinus Wellness Ut Inc CurrentSince Oct 19, 2024 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Oct 19, 2024 Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

10020 W Fairview Ave
Ste 104
Boise, ID 83704
Phone (954) 997-6781

401 9th St
Lacon, IL 61540
Phone (309) 246-2175

1 E Oakhill Dr
Ste 100
Westmont, IL 60559
Phone (630) 654-2515

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Interoperability endpoints

  • Direct secure messaging: cschrodetzki33145@direct.svmh.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1235630427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 PEBBLE BEACH BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565373",
            "telephone_number": "510-493-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-891-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRODETZKI",
        "first_name": "CANDICE",
        "middle_name": "SANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018603",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136702",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING APRN",
            "identifier": "AP136702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.