CANDACE LYNN AVERY APRN
NPI 1386225621
Nurse Practitioner - Neonatal, Critical Care in Jackson, TN

Q: What is Candace Avery's NPI number?

The NPI number for Candace Avery is 1386225621. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Candace Avery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Candace Avery was last updated on December 22, 2022. 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.

Active since April 19, 2021PECOS Enrolled

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2022, Apr 19, 2021 (2 updates tracked since 2021).

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About Candace Lynn Avery Aprn NPPES

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

CANDACE LYNN AVERY APRN (NPI 1386225621) is an individual neonatal, critical care provider in Jackson, Tennessee, licensed in Nebraska (114531) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386225621

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameCANDACE LYNN AVERYCredential: APRN

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address620 Skyline DrJackson, TN 38301-3923

Phone(731) 541-5000

Sole ProprietorYes

Enumeration DateApril 19, 2021

Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1386225621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in NE · 114531

Also ListedRegistered NurseTaxonomy 163W00000X · License 0000218086 (TN)

620 SKYLINE DR, Jackson, TN 38301

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Lynn Avery Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Candace Avery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hardin County Regional Health Center

44 mi

Federally Qualified Health Center (FQHC)

765 FLORENCE RD
Savannah, TN 38372

Reassigned Medicare billing, Tennessee enrollment
43 clinicians in this Medicare group

NPI 1184676157 (731) 925-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)