Individual provider Active NPI

Candice Lyn Hunter, NP

  • Family Nurse Practitioner
  • Estacada, OR
National Provider Identifier
1396252524
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12170706 Issued in OR
Practice address
535 NE 6TH Ave
Estacada, OR 97023-9312
Phone
(503) 630-8550
NPI assigned
Jan 9, 2018
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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 F12170706 OR Primary

Addresses

Primary practice location

535 NE 6TH Ave
Estacada, OR 97023-9312

Mailing address

PO Box 546
Gresham, OR 97030-0132

Other practice location 1

47815 Highway 58
Oakridge, OR 97463-9572
Phone (541) 782-8304

Other practice location 2

24934 Fir Grove Ln
Elmira, OR 97437-9751
Phone (541) 234-3255

Other practice location 3

54771 McKenzie Hwy
Blue River, OR 97413-9790
Phone (541) 822-3341

Other practice location 4

600 NE 8th St Ste 300
Gresham, OR 97030-7318
Phone (503) 988-5155

Other identifiers 1

IdentifierTypeStateIssuer
5007431654MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20180625003113 OR Practitioner - Nurse Practitioner 9335494830 Reassigns benefits to 2 organizations

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
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

535 NE 6TH Ave
Estacada, OR 97023-9312
Phone (503) 630-8550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12170706ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County CurrentSince May 7, 2018 Accepting new patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
Multnomah County Current Accepting new patients
Orchid Oakridge Clinic, PC CurrentSince Jan 1, 2022 Accepting new patients
Multnomah County CurrentSince May 7, 2018 Accepting new patients
A Community Wellness Clinic LLC Family Past Accepting new patients
Orchid Oakridge Clinic, PC PastSince Jul 1, 2023 Accepting new patients
Multnomah County Past Accepting new patients

Locations

24934 Fir Grove Ln
Elmira, OR 97437
Phone (541) 234-3255

535 NE 6th Ave
Estacada, OR 97023
Phone (503) 630-8550

536 NE 6TH Ave
Estacada, OR 97023

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

600 NE 8th St
Ste 300
Gresham, OR 97030
Phone (503) 988-5155

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • Direct secure messaging: candice.hunter.1@31614.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1396252524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE 6TH AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239312",
            "telephone_number": "503-630-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24934 Fir Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "OR",
            "postal_code": "974379751",
            "country_code": "US",
            "telephone_number": "541-234-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 NE 8th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307318",
            "country_code": "US",
            "telephone_number": "503-988-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "CANDICE",
        "middle_name": "LYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "F12170706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007431654",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estacada, OR

Sources for this page

Verify at the official NPI Registry.