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CANDICE SHANA-KAY LEGISTER MD
NPI 1043908924
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 27, 2023PECOS Enrolled
2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454(612) 625-4544 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Shana-kay Legister Md NPPES

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

CANDICE SHANA-KAY LEGISTER MD (NPI 1043908924) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043908924
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCANDICE SHANA-KAY LEGISTERCredential: MD
Location Address2450 RIVERSIDE AVE # R200Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # R200Minneapolis, MN 55454-1450
Phone(612) 625-4544
Sole ProprietorNo
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1043908924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2450 RIVERSIDE AVE # R200, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Shana-kay Legister Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANDREW FORREST ORMSETH MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8043
THOMAS CAHIR
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
DR. DEVIN EDWARD WILHELM MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
CLAIRE KNOWLAN
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
GEORGE MATHEW THOMAS
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
DR. JOHN COLE MD
Orthopaedic Surgery (Hand Surgery)
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-9400
VASIL VALERIEV KUKUSHLIEV
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (616) 652-4544
DR. CAROLINE HERNG-YANN HU MD
Orthopaedic Surgery
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8043

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 Legister's NPI number?

The NPI number for Candice Legister is 1043908924. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Candice Legister located?

Candice Legister practices at 2450 Riverside Ave # R200, Minneapolis, MN 55454. The listed phone number is (612) 625-4544.

What is Candice Legister's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Candice Legister enrolled in Medicare?

Yes. Candice Legister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candice Legister was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.