Individual provider Active NPI

Candiss L Aschenbrenner, APRN-CNP

  • Primary Care Nurse Practitioner
  • Blackfoot, ID
National Provider Identifier
1518543768
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
67637 Issued in ID
Practice address
1416 Surrey CT
Blackfoot, ID 83221-3044
Phone
(208) 223-8832
NPI assigned
Mar 18, 2021
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103000853 ID Practitioner - Nurse Practitioner 0345631289 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

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

LicenseStateTypeSpecialty
67637IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. CurrentSince Dec 20, 2021 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Dec 20, 2021 Accepting new patients
BMH Inc CurrentSince Dec 20, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.