Candice Marie Moreland, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01630 Issued in WV

Practice address

101 Marcley Dr
Martinsburg, WV 25401-2977

Phone

(304) 263-8911

NPI assigned

Apr 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Candice Marie Pfiester Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment
• Samuel David Morris, M.D.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1427092956
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment
• East Mountain Health Physicians, Inc.

  • Rural Health Clinic/Center
  • Inwood, WV
  • NPI 1033681150
  NPD
• East Mountain Health Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)
• Samuel D Morris

  • Nursing Facility/Intermediate Care Facility
  • Martinsburg, WV
  • NPI 1336392299
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1528359825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004431",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoreland598856@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoreland598856@soc.inova.org",
            "affiliation": "N",
            "address_1": "4803 Gerrardstown Rd",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254283450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "PFIESTER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seth Daniel Moomaw
• Mahayla Rae Moore
• Mary Moore
• Jennifer Moran
• Robert E Moran III, M.D.
• Michael Moreland
• Brian Andrew Morgan
• Emily Morgan
• Lincoln B Morgan, RN
• Bryanna M Morrell, RN

• Medical Physician Assistant in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.