Active NPI
Candiss L Aschenbrenner, APRN-CNP
- Primary Care Nurse Practitioner
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 67637
- Practice address
- 1416 Surrey CT
Blackfoot, ID 83221-3044 - Phone
- (208) 223-8832
- NPI assigned
- Mar 18, 2021
- Last updated
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 67637 | ID | Primary |
Addresses
Primary practice location
1416 Surrey CT
Blackfoot, ID 83221-3044
Mailing address
1416 Surrey CT
Blackfoot, ID 83221-3044
Phone (208) 223-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67637 | ID | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc. | Past | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients | |
| BMH, Inc. | Gastroenterology | Past | Accepting new patients |
| BMH Inc. | Past | Accepting new patients | |
| BMH Inc | Past | Accepting new patients |
Locations
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
326 Poplar St
Blackfoot, ID 83221
Phone (208) 785-5801
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
1595 Bannock Hwy
Ste B
Pocatello, ID 83204
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
275 W Locust St
Ste A
Shelley, ID 83274
Interoperability endpoints
- candissaschenbrenner@bmh.medalliesdirect.net
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
dba Physicians & Surgeons Clinic of Pocatello
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1114192986
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
-
dba Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave
- Family Medicine Physician
- Pocatello, ID
- NPI 1215511241
-
dba Bingham Healthcare Specialty Clinic - Valencia
- Sports Medicine (Family Medicine) Physician
- Idaho Falls, ID
- NPI 1720574023
Gastroenterology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1518543768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 SURREY CT",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213044",
"telephone_number": "208-223-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 SURREY CT",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213044",
"telephone_number": "208-223-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCHENBRENNER",
"first_name": "CANDISS",
"middle_name": "L",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "67637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.