Candace Renee Polk, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0036409 Issued in OH

Practice address

50 N Wilson Rd
Columbus, OH 43204-1214

Phone

(614) 702-7915

Fax

(614) 965-6534

NPI assigned

May 10, 2024

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 OH

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837

  OH

  Medicare reassignment Care Compare group NPD
• Dedicated Columbus Ohio, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538798483

  OH

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1851149140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N WILSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041214",
            "telephone_number": "614-702-7915",
            "fax_number": "614-965-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N WILSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041214",
            "telephone_number": "614-702-7915",
            "fax_number": "614-965-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "CANDACE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Anne Poling, APRN-CNP
• Kristi Rae Poling, RN, BSN
• Kyle Poling, CDCA QMHS BA CMS BA
• Tatyana Poling, DO
• Amanda Helene-Graves Polizzi
• Wayne L. Poll, M.D.
• Owen E Pollack, M.SW, LSW
• Jeffrey T.D. Pollard, R.PH.
• Logan Pollard
• Ronald M Pollard Jr.

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.