Individual provider Active NPI

Candace Jill Wise, D.O.

  • Family Medicine Physician
  • Front Royal, VA
National Provider Identifier
1245678242
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102204074 Issued in VA
Practice address
351 Valley Health Way # 300
Front Royal, VA 22630-6480
Phone
(540) 631-3700
NPI assigned
Jun 12, 2013
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102204074 VA Primary

Addresses

Primary practice location

351 Valley Health Way # 300
Front Royal, VA 22630-6480

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4525
Phone (615) 373-7600

Other practice location 1

5231 John Tyler Hwy
Williamsburg, VA 23185-2553
Phone (757) 220-8300

Other practice location 2

3700 S Main St Ste 1A
Blacksburg, VA 24060
Phone (540) 443-3700

Other practice location 3

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwise123956@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102000368 VA Practitioner - Family Practice 5698085777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Warren Memorial Hospital, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Page Memorial Hospital, Inc. Past Accepting new patients
Warren Memorial Hospital Occupaitonal Health Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
#300
Front Royal, VA 22630
Phone (540) 631-3700

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: cwise123956@valleyhealth.direct-ci.com

Organizations & group practices 8

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 3

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1245678242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 VALLEY HEALTH WAY # 300",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306480",
            "telephone_number": "540-631-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5231 John Tyler Hwy",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852553",
            "country_code": "US",
            "telephone_number": "757-220-8300",
            "fax_number": "757-565-5338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 S Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "24060",
            "country_code": "US",
            "telephone_number": "540-443-3700",
            "fax_number": "540-444-3725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "CANDACE",
        "middle_name": "JILL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwise123956@soc.inova.org",
            "affiliation": "N",
            "address_1": "351 Valley Health Way # 300",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.