CANDACE MIDDLETON-COMBS APRN, FNP-C
NPI 1154988699
Nurse Practitioner - Family in Louisville, KY

Q: What is Candace Middleton-combs's NPI number?

The NPI number for Candace Middleton-combs is 1154988699. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Candace Middleton-combs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202(502) 629-5552 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2022, Oct 26, 2020, Mar 12, 2020 and 3 more (6 updates tracked since 2019).

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About Candace Middleton-combs Aprn, Fnp-c NPPES

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

CANDACE MIDDLETON-COMBS APRN, FNP-C (NPI 1154988699) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3013389) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154988699

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCANDACE MIDDLETON-COMBSCredential: APRN, FNP-C

Location Address200 E CHESTNUT ST STE 303Louisville, KY 40202-1831

Mailing Address8250 Hatton RdFrankfort, KY 40601-9117 · (502) 545-6881

Phone(502) 629-5552

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 21, 2019

Last NPPES UpdateMay 19, 20226 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1154988699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3013389

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3013389 (KY)

200 E CHESTNUT ST STE 303, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Candace Middleton-combs Aprn, Fnp-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 ID3577890359

PECOS Enrollment IDI20190816001839

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

576 services454 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

525 services427 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

61 services48 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

39 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180016

Location727 Hospital DriveShelbyville, KY 40065 · Shelby County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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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.

LAUREN PATRICK GREENE PA-C

Physician Assistant