Candace L. Percifull, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP02074 Issued in NM

Practice address

3825 Eubank Blvd NE
Albuquerque, NM 87111

Phone

(505) 292-8575

NPI assigned

Nov 16, 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

Medicare fee-for-service enrollment

Enrolled in NM

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Steven D Hsi, MD, PCGroup PAC ID 0941480586, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123
• Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: percifull.c@rgfm-nm.direct.office.nextgen.com

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.

• Steven D Hsi, MD, PC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1164646600
  Medicare reassignment Care Compare group
• Family Medicine PC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1083802029
  Medicare reassignment NPD
• Omni Medical Group LLC

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1568768042
  Medicare reassignment NPD
• Lovelace Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1932911351
  NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594
  NPD

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

• Ambercare Home Health Care Corporation

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation
• Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1982799375
  Care Compare affiliation

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1689941817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 SUERTE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131956",
            "telephone_number": "870-239-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-292-8575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Harper Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093587",
            "country_code": "US",
            "telephone_number": "505-823-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERCIFULL",
        "first_name": "CANDACE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP02074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peptineo LLC
• Anna Peralta, LMHC
• Brieann Peralta
• Joshua Ray Peralta, LMSW, LCSW-P
• Nikka Peralta
• Martika Percy, MD
• Daniel John Perdaems
• Rocio Perdue, PT
• Stephanie Perdue, MAT, BCBA
• Tonya Leeann Perdun, CCSS

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.