Candee J. Eisenhart, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

131305 Issued in AZ

Practice address

21321 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142

Phone

(480) 815-7074

Fax

(949) 404-6076

NPI assigned

Feb 11, 2017

Last updated

Jun 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

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.

• Prestige Primary Care, PLLC

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1144797374
  NPD Authorized official

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

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1891233714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421821",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21588 E Mewes Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851423111",
            "country_code": "US",
            "telephone_number": "480-248-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Monroe St",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855011363",
            "country_code": "US",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6343 E Main St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852058972",
            "country_code": "US",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1963 Commerce Center Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863014497",
            "country_code": "US",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENHART",
        "first_name": "CANDEE",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "131305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "131305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer House 1LLC (Ebenezer House)
• Ebenezer House D LLC
• Joshua Eberhard, D.O.
• Edge Medical Services
• Justin Ehmke, PA-C
• Marie Ekren, FNP-C
• Elder Grace Assisted Living LLC
• Darren Eugene Elg, OD
• Elite Medical Partners PLLC
• Helene Elizalde, MSN, APRN-FNP

• Family Nurse Practitioner in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.