Active NPI
Candace G Rogers, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134502
- 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
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 | 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Ashwin Gowda MD PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | 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
- 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.