Individual provider Active NPI

Candace L Adkins, RN, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1609330810
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
727722 Issued in TX
Practice address
811 W I 20 Ste 120
Arlington, TX 76017-5871
Phone
(817) 468-3393
Fax
(817) 468-8734
NPI assigned
Jan 22, 2019
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 727722 TX
Gerontology Nurse Practitioner 363LG0600X 727722 TX Primary

Addresses

Primary practice location

811 W I 20 Ste 120
Arlington, TX 76017-5871

Mailing address

811 W I 20 Ste 120
Arlington, TX 76017-5871
Phone (817) 468-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190304001322 TX Practitioner - Nurse Practitioner 6204175557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1540 W Interstate 20
Wellmed at Arlington Park
Arlington, TX 76017-5838
Phone (817) 472-6555

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
727722TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jun 1, 2021 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, PA CurrentSince Mar 16, 2020 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Mar 16, 2020 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

811 W Interstate 20
Ste 120
Arlington, TX 76017
Phone (817) 468-3393

1801 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (972) 262-5272

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: candace.adkins@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1609330810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W I 20 STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175871",
            "telephone_number": "817-468-3393",
            "fax_number": "817-468-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W I 20 STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175871",
            "telephone_number": "817-468-3393",
            "fax_number": "817-468-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "CANDACE",
        "middle_name": "L",
        "credential": "RN, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "727722",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "727722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.