CANDICE NICOLE SHORT NP
NPI 1407264971
Nurse Practitioner - Family in Johnson City, TN

Q: What is Candice Short's NPI number?

The NPI number for Candice Short is 1407264971. It was assigned to this individual provider in the NPPES registry on July 29, 2014. The provider is also known as Candice Nicole King Rn.

Q: What is Candice Short's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Candice Short was last updated on May 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment

2151 CENTURY LN, JOHNSON CITY, TN 37604(423) 439-4515(423) 439-5780 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Candice Nicole Short Np NPPES

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

CANDICE NICOLE SHORT NP (NPI 1407264971) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (19004) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407264971

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCANDICE NICOLE SHORTCredential: NP

Location Address2151 CENTURY LNJohnson City, TN 37604-4469

Mailing Address365 Stout DriveJohnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780

Phone(423) 439-4515

Fax(423) 439-5780

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 29, 2014

Last NPPES UpdateMay 3, 2017

✔ NPI 1407264971 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 TN · 19004

2151 CENTURY LN, Johnson City, TN 37604

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Other Names 1

Former Name (1)Candice Nicole King Rn

Other Identifiers 1

MedicaidQ007448TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 Nicole Short Np 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 ID7012139470

PECOS Enrollment IDI20141119001812

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 3

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

660 services11 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

20 services16 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

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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.

MS. REBECCA ELLEN FLORA-WATERMAN APRN, FNP

Nurse Practitioner (Primary Care)