Individual provider Active NPI

Candace Cochran, FNP-C

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1508268772
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 16582NP Issued in OH
Practice address
4124 Fulton Dr NW
Ste 101
Canton, OH 44718-2852
Phone
(330) 433-9260
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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 COA 16582NP OH Primary

Addresses

Primary practice location

4124 Fulton Dr NW
Ste 101
Canton, OH 44718-2852

Mailing address

4124 Fulton Dr NW
Ste 101
Canton, OH 44718-2852
Phone (330) 433-9260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141203000602 OH Practitioner - Nurse Practitioner 5597087544 Reassigns benefits to 2 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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-8990

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 16582NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Dec 28, 2020 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 31, 2025 Accepting new patients
Partners Physician Group CurrentSince Dec 28, 2020 Accepting new patients
Diana Brewster, D.O., LLC Past Accepting new patients
Integrated Pain Concepts LLC PastSince Oct 1, 2014 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

Organizations & group practices 5

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 1

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1508268772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 FULTON DR NW",
            "address_2": "STE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182852",
            "telephone_number": "330-433-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 FULTON DR NW",
            "address_2": "STE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182852",
            "telephone_number": "330-433-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CANDACE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 16582NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.