Candice H Wild, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

204744 Issued in LA

Practice address

1970 N Highway 190
Covington, LA 70433-5364

Phone

(985) 892-5355

Fax

(985) 256-5687

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Keshelava, MD LLCGroup PAC ID 0143442822, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.75 of 100Reported as group

Quality

71.94

Promoting interoperability

100

Improvement activities

40

Cost

63.89

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• George Keshelava, MD LLC

  • Infectious Disease Physician
  • Covington, LA
  • NPI 1932528486
  Medicare reassignment Care Compare group NPD
• Gulfsouth Hospital Medicine LLC

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1871097766
  Medicare reassignment NPD
• Frank J Arena MD, Apmc

  • Cardiovascular Disease Physician
  • Covington, LA
  • NPI 1033549225
  NPD (past)
• Iteld Bernstein and Associates LLC

  • Cardiovascular Specialist/Technologist
  • Slidell, LA
  • NPI 1508817396

  Nurse Practitioner

  NPD (past)
• Nni Covington LLC

  • Nephrology Physician
  • Covington, LA
  • NPI 1972060168
  NPD (past)
• Northlake Nephrology Inc

  dba Northlake Nephrology Institute

  • Nephrology Physician
  • Covington, LA
  • NPI 1366448458
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1730731043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3370",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704343370",
            "telephone_number": "985-400-5988",
            "fax_number": "985-256-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335364",
            "telephone_number": "985-892-5355",
            "fax_number": "985-256-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "CANDICE",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "204744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verna White
• Cecily Whitfield, CSW
• Keyna Juri Whitney, M.D.
• Landon K Whitworth, FNP-C
• Nancy Joanna Wilbanks, RD, LDN
• Matthew Paul Wilkinson, RPH
• William L. Terral, MD, Apmc (Children's Medical Center)
• William N. Landry III MD, Apmc
• William N. Landry, III, MD, Apmc
• Reda William, M.D.

• Family Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.