Individual provider Active NPI

Candace Nicole Polite, NP-C

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1447628011
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.1000664-NP Issued in CO
Practice address
3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631
Phone
(719) 325-0342
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 876850 MS
Nurse Practitioner 363L00000X APN.1000664-NP CO Primary
Nurse Practitioner 363L00000X F07151394 CA
Nurse Practitioner 363L00000X 716817 CA

Addresses

Primary practice location

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631

Mailing address

5532 Blue Moon Dr
Colorado Springs, CO 80924-4212
Phone (310) 482-9203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CO2 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
I20240723001885 MS Practitioner - Nurse Practitioner 5395049365 Reassigns benefits to 1 organization
I20250502002294 CO Practitioner - Nurse Practitioner 5395049365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians

Practice addresses (Care Compare)

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631
Phone (719) 325-0342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07151394CAMDNurse Practitioner
876850MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care at the Pointe, PLLC CurrentSince May 3, 2024 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Apr 29, 2025 Accepting new patients

Locations

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 325-0342

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

100 Highway 8 W
Ste 101
Aberdeen, MS 39730
Phone (662) 304-5014

100 Highway 8 W
Ste 1
Aberdeen, MS 39730
Phone (662) 304-5014

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: candace.polite@krogerhealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1447628011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 BLUE MOON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244212",
            "telephone_number": "310-482-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186631",
            "telephone_number": "719-325-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITE",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "876850",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1000664-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F07151394",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "716817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.