Individual provider Active NPI

Candace G Rogers, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1295244192
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134502 Issued in TX
Practice address
100 E. Whitestone Blvd
Suite 148-123
Cedar Park, TX 78613-6902
Phone
(316) 200-5621
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 AP134502 TX Primary

Addresses

Primary practice location

100 E. Whitestone Blvd
Suite 148-123
Cedar Park, TX 78613-6902

Mailing address

100 E. Whitestone Blvd
Suite 148-123
Cedar Park, TX 78613-6902
Phone (316) 200-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, CO, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171130002928 TX Practitioner - Nurse Practitioner 1153688031 Reassigns benefits to 2 organizations
I20221213003159 MA Practitioner - Nurse Practitioner 1153688031 Reassigns benefits to 1 organization
I20230201002104 CO Practitioner - Nurse Practitioner 1153688031 Reassigns benefits to 1 organization
I20230202002871 FL Practitioner - Nurse Practitioner 1153688031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 19, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Ashwin Gowda MD PA CurrentSince Mar 5, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 25, 2022 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

1221 W Ben White Blvd
Ste 100A
Austin, TX 78704
Phone (512) 440-5757

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11417/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1295244192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. WHITESTONE BLVD",
            "address_2": "SUITE 148-123",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136902",
            "telephone_number": "316-200-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E. WHITESTONE BLVD",
            "address_2": "SUITE 148-123",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136902",
            "telephone_number": "316-200-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CANDACE",
        "middle_name": "G",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.