Active NPI
Casie Anne Candarini, FNP-C, APRN
- Family Nurse Practitioner
- Rock Hill, SC
National Provider Identifier
1265201024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27028
- Practice address
- 2275 India Hook Rd
Rock Hill, SC 29732-1223 - Phone
- (803) 329-1500
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27028 | SC | Primary |
Addresses
Primary practice location
2275 India Hook Rd
Rock Hill, SC 29732-1223
Mailing address
8486 McCullough Club Dr
Fort Mill, SC 29715-6011
Phone (732) 239-9349
Other names 1
- Casie Anne Wombacher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240315003347 | SC | Practitioner - Nurse Practitioner | 2961848627 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27028 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Community Care Inc | Current | Accepting new patients |
Locations
2275 India Hook Rd
Rock Hill, SC 29732
Phone (803) 329-1500
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Rock Hill, SC
- NPI 1598721771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1265201024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8486 MCCULLOUGH CLUB DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297156011",
"telephone_number": "732-239-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 INDIA HOOK RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321223",
"telephone_number": "803-329-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDARINI",
"first_name": "CASIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASIE",
"last_name": "WOMBACHER",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.