CANDICE A DISANTI CNM
NPI 1013125632
Advanced Practice Midwife in Pennington, NJ

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
1 CAPITAL WAY, PENNINGTON, NJ 08534(609) 303-4000 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2024, Mar 18, 2016 (2 updates tracked since 2016).

About Candice A Disanti Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE A DISANTI CNM (NPI 1013125632) is an individual advanced practice midwife in Pennington, New Jersey, licensed in New Jersey (25ME00043601) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lindenwold, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013125632
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCANDICE A DISANTICredential: CNM
Location Address1 CAPITAL WAYPennington, NJ 08534-2520
Mailing AddressPo Box 536Voorhees, NJ 08043-0536 · (856) 669-6050 · Fax (856) 651-0794
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1013125632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in NJ · 25ME00043601✔ Licensed in NJ · 26NO10117400
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1 CAPITAL WAY, Pennington, NJ 08534

Secondary Practice Location 1

Location 1406 E Gibbsboro RdLindenwold, NJ 08021-1907 · Phone (856) 435-7007 · Fax (856) 435-3866

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice A Disanti Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183857444
PECOS Enrollment IDI20160212000479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Candice Disanti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1 CAPITAL WAY, DEPT OF ANESTHESIOLOGY, CAPITAL HEALTH HOPEWELL MEDICAL
PENNINGTON, NJ 08534
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Nurse Anesthetist, Certified Registered
1 CAPITAL WAY
PENNINGTON, NJ 08534
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Student in an Organized Health Care Education/Training Program
1 CAPITAL WAY
PENNINGTON, NJ 08534
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Internal Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Disanti's NPI number?

The NPI number for Candice Disanti is 1013125632. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Candice Disanti located?

Candice Disanti practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (609) 303-4000.

What is Candice Disanti's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Candice Disanti enrolled in Medicare?

Yes. Candice Disanti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Candice Disanti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Disanti reassigns Medicare benefits to 3 organizations: Capital Health Multispecialty Group (Trenton, NJ), Virtua Medical Group, PA (Mount Holly, NJ) and Advocare, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candice Disanti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Disanti accept?

Health plans from Oscar Health list Candice Disanti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candice Disanti was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.