Candace Mendoza, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5008800 Issued in NC

Practice address

2080 W Arlington Blvd Ste a
Greenville, NC 27834-3770

Phone

(252) 689-6161

NPI assigned

Nov 22, 2013

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Candace Engle Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Interventional Pain Center PLLCGroup PAC ID 9537071238, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• North Fork Valley Community Health Board, Inc.

  dba UK North Fork Valley Community Health Center

  • Family Medicine Physician
  • Hazard, KY
  • NPI 1164594511

  Other

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interventional Pain Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, NC
  • NPI 1558428789
  Medicare reassignment Care Compare group NPD
• Rao Clinic PLLC

  dba Aegis Medical Center

  • Vascular & Interventional Radiology Physician
  • Cary, NC
  • NPI 1073148581

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Interventional Pain Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lumberton, NC
  • NPI 1790220408
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1336579796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-689-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CANDACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100271570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "ENGLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shadman Memarian, M.D.
• Rehman Ali Memon, MD
• Barbara Cobb Memory, PH.D., MT-BC
• Eric Thomas Mendenhall, MD
• Rafael A Mendez, DMD.
• Mental Edge Counseling PLLC (Mental Edge Counseling, LLC)
• Mentoring for Change, Inc
• Katherine Mercer
• Nichole A. Mercer, OTR/L
• Shawnya Mercer

• Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.