Individual provider Active NPI

Candi Calderon, CPNP

  • Pediatric Nurse Practitioner
  • Port St Joe, FL
National Provider Identifier
1245579440
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11009155 Issued in FL
Practice address
202 W Highway 98
Port St Joe, FL 32456-1303
Phone
(850) 227-9220
Fax
(850) 227-9219
NPI assigned
Feb 7, 2013
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN217780 GA
Pediatric Nurse Practitioner 363LP0200X APRN11009155 FL Primary

Addresses

Primary practice location

202 W Highway 98
Port St Joe, FL 32456-1303

Mailing address

202 W Highway 98
Port St Joe, FL 32456-1303
Phone (850) 227-9220

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221002954 FL Practitioner - Nurse Practitioner 8527206663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009155FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc CurrentSince Jan 15, 2024 Accepting new patients
Pancare of Florida, Inc CurrentSince Jan 15, 2024 Accepting new patients
New Horizon Primary Care, LLC CurrentSince Jan 1, 2022 Accepting new patients
Pancare of Florida, Inc PastSince Jun 3, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Hannahan Comprehensive Pain Care PC PastSince Dec 21, 2021 Accepting new patients

Locations

16875 NE Cayson St
Blountstown, FL 32424
Phone (850) 674-2244

495 Saint Johns Rd
Bonifay, FL 32425
Phone (850) 547-5547

11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155

1440 Main St
Chipley, FL 32428
Phone (850) 676-4926

479 State Highway 20 E
Freeport, FL 32439
Phone (850) 835-4121

5336 10th St
Malone, FL 32445
Phone (850) 569-2053

4126 Independent Dr
Marianna, FL 32448
Phone (850) 394-4907

2235 E 15th St
Panama City, FL 32405
Phone (850) 747-5272

2235 E 15th St
#B
Panama City, FL 32405

2309 E 15th St
Panama City, FL 32405
Phone (850) 747-5272

5230 W Highway 98
Bldg Rosenwald
Panama City, FL 32401
Phone (850) 873-3535

403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599

202 W Highway 98
Port St Joe, FL 32456
Phone (251) 599-6445

2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276

401 Cecil G Costin SR Blvd
Port St Joe, FL 32456
Phone (850) 229-1043

12427 Highway 231
Youngstown, FL 32466
Phone (850) 753-3246

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1245579440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W HIGHWAY 98",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561303",
            "telephone_number": "850-227-9220",
            "fax_number": "850-227-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W HIGHWAY 98",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561303",
            "telephone_number": "850-227-9220",
            "fax_number": "850-227-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "CANDI",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN217780",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11009155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

Verify at the official NPI Registry.