CANDICE NICOLE SHORT NP
NPI 1407264971
Nurse Practitioner - Family in Johnson City, TN
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Candice Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Morristown, TN 37814
- Reassigned Medicare billing, Tennessee enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
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 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.
Where is Candice Short located?
Candice Short practices at 2151 Century Ln, Johnson City, TN 37604. The listed phone number is (423) 439-4515.
What is Candice Short's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Candice Short enrolled in Medicare?
Yes. Candice Short 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.
Which organization bills Medicare for Candice Short's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candice Short reassigns Medicare benefits to Brookwell Health LLC (Morristown, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candice Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candice Short accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Candice Short 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 Short was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Candice Nicole Short, NP · NPI 1407264971
Family physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since July 29, 2014.
## Identity
- **NPI:** 1407264971 (Entity type: Individual)
- **Enumerated:** July 29, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19004 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2151 CENTURY LN, Johnson City, TN 37604-4469
- **Phone:** (423) 439-4515 · **Fax:** (423) 439-5780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brookwell Health LLC (NPI 1366072159, Morristown, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 3, 2017
- **Other identifiers:** Medicaid Q007448 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1407264971) · Data from the CMS NPPES public registry.