Individual provider Active NPI

Candice Johnston, NP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1447798301
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77478 Issued in KS
Practice address
4910 W 1St St N
Wichita, KS 67212-2341
Phone
(316) 866-2000
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 77478 KS Primary

Addresses

Primary practice location

4910 W 1St St N
Wichita, KS 67212-2341

Mailing address

1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170228000882 KS Practitioner - Nurse Practitioner 9436433075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

3443 N Amidon Ave
NMC Health Family Medicine North Amidon
Wichita, KS 67204-4147
Phone (316) 838-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince Sep 26, 2022 Accepting new patients
Newton Healthcare Corporation CurrentSince Sep 26, 2022 Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

3443 N Amidon Ave
Wichita, KS 67204
Phone (316) 838-8585

Organizations & group practices 4

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1447798301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142810",
            "telephone_number": "316-866-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 W 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122341",
            "telephone_number": "316-866-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CANDICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.