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CANDICE BRANTLEY FNP-C
NPI 1275926164
Nurse Practitioner - Family in Squaw Valley, CA

Active since March 17, 2015PECOS Enrolled
30924 E KINGS CANYON RD, SQUAW VALLEY, CA 93675(559) 332-9399(559) 332-9499 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Brantley Fnp-c NPPES

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

CANDICE BRANTLEY FNP-C (NPI 1275926164) is an individual family provider in Squaw Valley, California, licensed in California (95001891) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1275926164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE BRANTLEYCredential: FNP-C
Location Address30924 E KINGS CANYON RDSquaw Valley, CA 93675-9601
Mailing Address30924 E Kings CanyonSquaw Valley, CA 93675
Phone(559) 332-9399
Fax(559) 332-9499
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateMarch 17, 2015
✔ NPI 1275926164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95001891
30924 E KINGS CANYON RD, Squaw Valley, CA 93675
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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 Brantley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092012005
PECOS Enrollment IDI20260220000631
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93675 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 3

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

MAKENZIE LEANN DONALDSON DNP
Nurse Practitioner (Family)
30924 E KINGS CANYON RD
SQUAW VALLEY, CA 93675
Fresno County (877) 960-3426
FAMILY HEALTHCARE NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
30924 E KINGS CANYON RD
YOKUTS VALLEY, CA 93675
Fresno County (559) 737-4700
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
Family Medicine
30924 E KINGS CANYON RD
SQUAW VALLEY, CA 93675
Fresno County (559) 332-9399

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 Brantley's NPI number?

The NPI number for Candice Brantley is 1275926164. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Candice Brantley located?

Candice Brantley practices at 30924 E Kings Canyon Rd, Squaw Valley, CA 93675. The listed phone number is (559) 332-9399.

What is Candice Brantley's specialty?

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

Is Candice Brantley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Candice Brantley was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.