CANDICE COLEMAN NP-C
NPI 1073912366
Nurse Practitioner - Adult Health in Jackson, MS

Q: What is Candice Coleman's NPI number?

The NPI number for Candice Coleman is 1073912366. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Q: What is Candice Coleman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Candice Coleman was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2018, Feb 22, 2018, Dec 21, 2017 (3 updates tracked since 2017).

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About Candice Coleman Np-c NPPES

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

CANDICE COLEMAN NP-C (NPI 1073912366) is an individual adult health provider in Jackson, Mississippi, licensed in Mississippi (902442) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073912366

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCANDICE COLEMANCredential: NP-C

Location Address3502 W NORTHSIDE DRJackson, MS 39213

Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321

Phone(601) 362-5321

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 22, 2014

Last NPPES UpdateJuly 4, 20183 updates tracked since enumeration

✔ NPI 1073912366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MS · 902442

3502 W NORTHSIDE DR, Jackson, MS 39213

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Secondary Practice Location 1

Location 1145 Raymond RdJackson, MS 39204-3802 · Phone (601) 372-1800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice Coleman Np-c 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 ID1557613114

PECOS Enrollment IDI20181009002219

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

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.

MRS. TIFFANI RICCHELE MCKNIGHT

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