NPIMap

Individual provider Active NPI

Candice Elaine Adams, DNP, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1992237648
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
55016 Issued in ID
Practice address
1120 S Rackham Way
Meridian, ID 83642-1092
Phone
(208) 577-8672
Fax
(208) 209-6058
NPI assigned
Mar 31, 2017
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 55016 ID Primary

Addresses

Primary practice location

1120 S Rackham Way
Meridian, ID 83642-1092

Mailing address

5108 N Maidstone Way
Boise, ID 83713-1367
Phone (208) 577-8672

Other practice location 1

5108 N Maidstone Way
Boise, ID 83713-1367
Phone (208) 577-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612001837 ID Practitioner - Nurse Practitioner 4385912575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Treasure Valley Healthcare PLLCGroup PAC ID 4981028891, 2 clinicians

Practice addresses (Care Compare)

1120 S Rackham Way
Suite 300
Meridian, ID 83642-1092
Phone (208) 577-8672

5108 N Maidstone Way
Boise, ID 83713-1367

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
55016IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Hospice LLC CurrentSince Mar 24, 2025 Accepting new patients
Best Self Therapy PastSince Aug 3, 2025 Accepting new patients
First Choice Home Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: candice.adams.1@33195.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1992237648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 N MAIDSTONE WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131367",
            "telephone_number": "208-577-8672",
            "fax_number": "208-939-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S RACKHAM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421092",
            "telephone_number": "208-577-8672",
            "fax_number": "208-209-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5108 N Maidstone Way",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837131367",
            "country_code": "US",
            "telephone_number": "208-577-8672",
            "fax_number": "208-939-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CANDICE",
        "middle_name": "ELAINE",
        "credential": "DNP, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "55016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.