CANDICE E JONES FNP-C
NPI 1285228734
Nurse Practitioner - Family in Hilliard, OH

Active since February 25, 2021PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
4961 ROBERTS RD, HILLIARD, OH 43026(866) 389-2727(401) 519-6540 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2025, Jun 3, 2024, Nov 1, 2021 and 1 more (4 updates tracked since 2021).

About Candice E Jones Fnp-c NPPES

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

CANDICE E JONES FNP-C (NPI 1285228734) is an individual family provider in Hilliard, Ohio, licensed in Ohio (0028848) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285228734
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE E JONESCredential: FNP-C
Location Address4961 ROBERTS RDHilliard, OH 43026-8129
Mailing Address9 W 130th StHinckley, OH 44233-9610 · (866) 389-2727 · Fax (401) 519-6540
Fax(401) 519-6540
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2021
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1285228734 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
Licenses Licensed in OH · 0028848 Licensed in KY · 4011541 Licensed in DE · LG0012665 Licensed in FL · 11029739 Licensed in ME · CNP231615 Licensed in MD · AC006073 Licensed in KS · 5382687072 Licensed in NH · 09287723 Licensed in VT · 1010136799 Licensed in RI · APRN03985 Licensed in DC · 500017349 Licensed in MA · RN2391420
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.408431 (OH)
4961 ROBERTS RD, Hilliard, OH 43026

Secondary Practice Locations 10

Location 11545 Pulaski HwyBear, DE 19701-1303 · Phone (866) 389-2727
Location 22311 Lime Kiln LnLouisville, KY 40222-3460 · Phone (866) 389-2727
Location 367D Main StMedway, MA 02053-1831 · Phone (866) 389-2727
Location 41 Cvs DrWoonsocket, RI 02895-6146 · Phone (866) 389-2727
Location 511729 Roe AveLeawood, KS 66211-2605 · Phone (866) 389-2727
Location 651 Market StSouth Portland, ME 04106-3617 · Phone (866) 389-2727
Location 74 Hall StConcord, NH 03301-3414 · Phone (866) 389-2727
Location 81054 Cass AveWoonsocket, RI 02895-4935 · Phone (866) 389-2727
Location 912280 Lake Underhill RdOrlando, FL 32825-5009 · Phone (866) 389-2727
Location 107955 Tuckerman LnRockville, MD 20854-3243 · Phone (866) 389-2727

Accepted 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 E Jones 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 ID2062804792
PECOS Enrollment IDI20220110000774, I20240312002446
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

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.

Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Family Medicine
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026
Nurse Practitioner (Family)
4961 ROBERTS RD
HILLIARD, OH 43026

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 Jones's NPI number?

The NPI number for Candice Jones is 1285228734. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Candice Jones located?

Candice Jones practices at 4961 Roberts Rd, Hilliard, OH 43026. The listed phone number is (866) 389-2727.

What is Candice Jones's specialty?

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

Is Candice Jones enrolled in Medicare?

Yes. Candice Jones 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.

What insurance does Candice Jones accept?

Health plans from CareSource list Candice Jones 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 Jones was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.