Candice M Ashley, CFNP-BC
Individual provider Active NPI Family Nurse Practitioner · Florence, MS
NPI 1710242466 · NPPES record last updated Sep 26, 2012
Key facts
- NPI
- 1710242466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R867301 (MS)
- Practice address
- 218 E Main St
Florence, MS 39073-8407 - Phone
- (601) 845-6602
- Fax
- (601) 845-6164
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin Health Care, LLC
Practice addresses (Care Compare)
218 E Main St
Florence, MS 39073-6041
Phone (601) 845-6602
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Homecare of Jackson
- Merit Health Women'S Hospital
- Mississippi Baptist Medical Center
- Merit Health River Oaks
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130827000620 | MS | Practitioner - Nurse Practitioner | 9739322579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R867301 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Health Care, LLC | Current |
Accepting new patients |
Locations
218 E Main St
Florence, MS 39073
Phone (601) 845-6602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R867301 | MS | Yes |
Addresses
Primary practice location
218 E Main St
Florence, MS 39073-8407
Mailing address
218 E Main St
Florence, MS 39073-8407
Phone (601) 845-6602
Other providers in Florence, MS
All providers in Florence, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.