Candace S Willis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN16883 Issued in TN

Practice address

5001 E Main St
Erin, TN 37061-4115

Phone

(931) 289-4211

Fax

(731) 249-9003

NPI assigned

Jul 31, 2012

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Clinic CorpGroup PAC ID 2466468558, 23 clinicians

Lexington Hospital CorporationGroup PAC ID 7719896414, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston County Community Hospital Hospital, Erin, TN, CCN 441322

Medicare enrollment (NPD)

Enrolled

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

• Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1780652107

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1083809669
  Medicare reassignment Care Compare group NPD
• Lexington Family Physicians LLC

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1265660708
  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Medicare reassignment NPD
• Haywood County Community Hospital, Inc

  • Emergency Medicine Physician
  • Brownsville, TN
  • NPI 1790444933
  Medicare reassignment
• Perry County Community Hospital Inc

  • Critical Access Hospital
  • Linden, TN
  • NPI 1528890480
  Medicare reassignment
• Shamrock Community Hospital Inc

  dba Shamrock Community Hospital Medical Group

  • Family Medicine Physician
  • Erin, TN
  • NPI 1033878277
  Medicare reassignment
• Millennia Medical LLC

  • General Practice Physician
  • Lexington, TN
  • NPI 1295273993

  Family Medicine

  NPD (past) Authorized official
• Lexington Hospital Corporation

  dba Henderson County Community Pharmacy

  • Clinic Pharmacy
  • Lexington, TN
  • NPI 1033888649
  NPD
• Lexington Hospital Corporation

  dba Henderson County Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lexington, TN
  • NPI 1073584751
  NPD (past)
• Lexington Hospital Corporation

  dba Henderson County Community Hospital

  • General Acute Care Hospital
  • Lexington, TN
  • NPI 1255302923
  NPD (past)
• Lexington Hospital Corporation

  dba Henderson County Medical Group

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1407290893
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Care Compare affiliation

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1659627388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 E MAIN ST",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370614115",
            "telephone_number": "931-289-4211",
            "fax_number": "731-249-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E MAIN ST",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370614115",
            "telephone_number": "931-289-4211",
            "fax_number": "731-249-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121610",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Church St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "383512038",
            "country_code": "US",
            "telephone_number": "336-944-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CANDACE",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "APN16883",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vasilik, DNP, APRN, FNP-BC
• Ashleigh Walters, PT
• Erin Weakley
• Rachael Welborn
• Wildflower Counseling Services, LLC
• Robert Alan Wilson, MD
• Michael A Wright, DPH

• Family Nurse Practitioner in Erin, TN
• Providers in Erin, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.