Candace Funderburk

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019707 Issued in PA

Practice address

835 Old York Rd
Jenkintown, PA 19046-1601

Phone

(866) 389-2727

NPI assigned

Jan 30, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Nurse Practitioner

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 and National Provider Directory roles.

• Ars Treatment Centers, P.C.

  • Multi-Specialty Clinic/Center
  • Uniontown, PA
  • NPI 1346731171
  Medicare reassignment Care Compare group NPD
• Ophelia Medical Group FL, P.a.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1588244750
  Medicare reassignment NPD
• Ophelia Medical Group NJ PC

  • Psychiatry Physician
  • Flanders, NJ
  • NPI 1346906179
  Medicare reassignment NPD
• Mindcare & Recovery Solutions

  • Psychiatric/Mental Health Nurse Practitioner
  • Branchburg, NJ
  • NPI 1619810264
  NPD Authorized official
• Ars Treatment Centers of New Jersey, PC

  dba Crossroads Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Lanoka Harbor, NJ
  • NPI 1720644800
  Medicare reassignment
• Ars Treatment Centers, P.C.

  dba Crossroads Treatment Centers Beaver (LAB)

  • Clinical Medical Laboratory
  • Beaver, PA
  • NPI 1992370324
  NPD
• Ophelia Medical Group, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
  • NPI 1376179150
  NPD
• Mindwell Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
  • NPI 1750037891
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1811451248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461601",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461601",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "CANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019707",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14859700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912285198",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Froggatt, CRNP
• Rhoda Edwina Fuchs Morton, LPC
• Melinda T Fudge, M.D.
• Judith Fuhrman, LCSW
• Alexander Fuller, D.M.D.
• Caroline Marie Hughes Furman, FNP
• Jaspreet Gadria
• Gregg Stephen Gagliardi, M.D.
• Ryan Gannon
• James Gardner IV, DO

• Family Nurse Practitioner in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.