Individual provider Active NPI

Candi Jo Estes, FNP-BC

  • Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1396163879
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-011298 Issued in IL
Practice address
1106 N Merchant St
Effingham, IL 62401-2128
Phone
(217) 342-7000
Fax
(217) 342-7002
NPI assigned
Apr 2, 2014
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 209-011298 IL Primary

Addresses

Primary practice location

1106 N Merchant St
Effingham, IL 62401-2128

Mailing address

1106 N Merchant St
PO Box 665
Effingham, IL 62401-2128
Phone (217) 342-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candi.estes@familycare.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150217000562 IL Practitioner - Nurse Practitioner 3476878307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Associates of Effingham SCGroup PAC ID 5890789416, 12 clinicians

Practice addresses (Care Compare)

1106 N Merchant St
Effingham, IL 62401-2128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-011298ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dolly Briscoe Enterprises, Inc. CurrentSince Jan 1, 2015 Accepting new patients

Locations

1045 N State Route 121
Mt Zion, IL 62549
Phone (217) 864-0820

Interoperability endpoints

  • Direct secure messaging: candi.estes@famcare.eclinicaldirectplus.com
  • Direct secure messaging: candi.estes@familycare.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1396163879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N MERCHANT ST",
            "address_2": "PO BOX 665",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012128",
            "telephone_number": "217-342-7000",
            "fax_number": "217-342-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MERCHANT ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012128",
            "telephone_number": "217-342-7000",
            "fax_number": "217-342-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "CANDI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-011298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candi.estes@familycare.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1106 N Merchant St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.