Individual provider Active NPI

Casie Anne Candarini, FNP-C, APRN

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1265201024
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27028 Issued in SC
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

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315003347 SC Practitioner - Nurse Practitioner 2961848627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Community Care Inc CurrentSince Dec 24, 2023 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.

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

Verify at the official NPI Registry.