Individual provider Active NPI

Kandace Diane Webster, APRN

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1427435932
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008931 Issued in KY
Practice address
810 Jamestown St
Columbia, KY 42728-1010
Phone
(270) 384-4764
Fax
(270) 384-6228
NPI assigned
May 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 3008931 KY Primary

Addresses

Primary practice location

810 Jamestown St
Columbia, KY 42728-1010

Mailing address

810 Jamestown St
Columbia, KY 42728-1010
Phone (270) 384-4764

Other identifiers 1

IdentifierTypeStateIssuer
7100351010MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwebster@tjrh.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150710001617 KY Practitioner - Nurse Practitioner 4587976089 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Health Columbia IncGroup PAC ID 7113224783, shared by 10 NPIs, 43 clinicians

Practice addresses (Care Compare)

902 Wellness Way
Columbia, KY 42728-1149
Phone (270) 384-0451

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008931KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Current Accepting new patients
T J Samson Community Hospital Family CurrentSince Dec 1, 2018 Accepting new patients
T J Health Columbia Inc CurrentSince Feb 11, 2016 Accepting new patients
T J Health Columbia Inc CurrentSince Feb 11, 2016 Accepting new patients
T J Health Columbia Inc Family CurrentSince Aug 13, 2017 Accepting new patients
T J Health Columbia Inc CurrentSince Aug 2, 2016 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Jun 1, 2015 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Samson Community Hospital Family Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients

Locations

810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

Interoperability endpoints

  • Direct secure messaging: kwebster@tjrh.cernerdirect.com

Organizations & group practices 12

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 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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427435932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-4764",
            "fax_number": "270-384-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-4764",
            "fax_number": "270-384-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "KANDACE",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100351010",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwebster@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "810 Jamestown St",
            "city": "Columbia",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427281010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.