Individual provider Active NPI

Candra Sue Gigliotti, NP

  • Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1306358684
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
PENDING Issued in SC
Practice address
1000 N 16TH St
New Castle, IN 47362-4319
Phone
(765) 599-3177
Fax
(765) 599-3176
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PENDING SC Primary

Addresses

Primary practice location

1000 N 16TH St
New Castle, IN 47362-4319

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 599-3177

Other practice location 1

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4142

Other practice location 2

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1078 ext. 6467

Other names 1

  • Candra Sue Black Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address henrycommunityhealth@hcmh.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200506001619 FL Practitioner - Nurse Practitioner 5092076083 Reassigns benefits to 1 organization
I20200701002669 IN Practitioner - Nurse Practitioner 5092076083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PENDINGSCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Current Accepting new patients
Henry County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Jan 27, 2020 Accepting new patients
Henry County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Heritage House of Richmond Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1306358684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-599-3177",
            "fax_number": "765-599-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624319",
            "telephone_number": "765-599-3177",
            "fax_number": "765-599-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154812",
            "country_code": "US",
            "telephone_number": "864-675-4142",
            "fax_number": "864-675-4195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013955",
            "country_code": "US",
            "telephone_number": "864-255-1078 x6467",
            "fax_number": "864-679-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIGLIOTTI",
        "first_name": "CANDRA",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henrycommunityhealth@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 N 16th St",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473624319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDRA",
            "last_name": "BLACK",
            "middle_name": "SUE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.