Individual provider Active NPI

Candice Sisk, CRNA

  • Certified Registered Nurse Anesthetist
  • Morehead, KY
National Provider Identifier
1518306273
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024174917 Issued in VA
Practice address
222 Medical Circle
Morehead, KY 40351-1179
Phone
(606) 783-6500
Fax
(606) 783-6570
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9201876 FL
Certified Registered Nurse Anesthetist 367500000X 3016261 KY
Certified Registered Nurse Anesthetist 367500000X 0024174917 VA Primary

Addresses

Primary practice location

222 Medical Circle
Morehead, KY 40351-1179

Mailing address

PO Box 968
Morehaed, KY 40351-0968
Phone (866) 413-9534

Other practice location 1

174 Botanical Blvd
Winchester, VA 22603-3977
Phone (540) 536-5900

Other practice location 2

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 3

1000 N Shenandoah Ave
Front Royal, VA 22630-3598
Phone (540) 635-0219

Other practice location 4

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-4110

Other practice location 5

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (407) 667-0444 ext. 141

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidFL
PENDINGOtherFLBCBS

Other names 1

  • Candice Hemminger Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address chemminger514010@soc.inova.org
Direct Messaging Address chemminger514010@soc.inova.org
Direct Messaging Address chemminger514010@soc.inova.org
Direct Messaging Address chemminger514010@soc.inova.org
Direct Messaging Address chemminger514010@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, WV, KY, IN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20130729000936 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254572522 Reassigns benefits to 1 organization
I20171030000044 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254572522 Reassigns benefits to 2 organizations
I20210719001090 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254572522 Reassigns benefits to 2 organizations
I20211219000018 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254572522 Reassigns benefits to 3 organizations
I20241127003346 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254572522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Louisville Anesthesia Provision LLCGroup PAC ID 2567533839, 23 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

2000 Tunnel Hill Rd
Elizabethtown, KY 42701-8025
Phone (270) 304-2520

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9201876FLMDCertified Registered Nurse Anesthetist
0024174917VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2017 Accepting new patients
St Claire Medical Center, Inc., Nurse Anesthetist, Certified Registered Current Accepting new patients
St. Claire Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
St Claire Medical Center, Inc CurrentSince Nov 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
North Florida Anesthesia Consultants, Inc. CurrentSince Apr 10, 2017 Accepting new patients
Winchester Medical Center Current Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 21, 2024 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
River Cities Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Winchester Medical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 9, 2018 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2024 Accepting new patients
Winchester Medical Center CurrentSince Apr 9, 2018 Accepting new patients
North Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2017 Accepting new patients
Waterman Anesthesiology Group PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

Interoperability endpoints

  • Direct secure messaging: chemminger514010@soc.inova.org

Organizations & group practices 17

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.

View all 17

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1518306273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "MOREHAED",
            "state": "KY",
            "postal_code": "403510968",
            "telephone_number": "866-413-9534",
            "fax_number": "260-407-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIRCLE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-6500",
            "fax_number": "606-783-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Botanical Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033977",
            "country_code": "US",
            "telephone_number": "540-536-5900",
            "fax_number": "540-536-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Amherst St",
            "address_purpose": "LOCATION",
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            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Shenandoah Ave",
            "address_purpose": "LOCATION",
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            "state": "VA",
            "postal_code": "226303598",
            "country_code": "US",
            "telephone_number": "540-635-0219",
            "fax_number": "540-635-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-4110",
            "fax_number": "540-459-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Plymouth Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327203236",
            "country_code": "US",
            "telephone_number": "407-667-0444 x141",
            "fax_number": "407-667-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISK",
        "first_name": "CANDICE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9201876",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3016261",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024174917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chemminger514010@soc.inova.org",
            "affiliation": "N",
            "address_1": "1860 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chemminger514010@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chemminger514010@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chemminger514010@soc.inova.org",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chemminger514010@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "HEMMINGER",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.