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CANDLE JOHNSON CPNP
NPI 1508312067
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since August 25, 2016PECOS Enrolled
2600 E BERRY ST, FORT WORTH, TX 76105(817) 347-4600(817) 347-4639 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2021, Apr 6, 2021, Aug 25, 2016 (3 updates tracked since 2016).

About Candle Johnson Cpnp NPPES

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

CANDLE JOHNSON CPNP (NPI 1508312067) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (747188) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508312067
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCANDLE JOHNSONCredential: CPNP
Location Address2600 E BERRY STFort Worth, TX 76105-4750
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(817) 347-4600
Fax(817) 347-4639
Sole ProprietorNo
Enumeration DateAugust 25, 2016
Last NPPES UpdateApril 29, 20213 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1508312067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 747188
2600 E BERRY ST, Fort Worth, TX 76105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candle Johnson Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76105 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 10

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

JANET GAYTAN RD LD
Dietitian, Registered
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
JENNIFFER L HASLING LCSW
Social Worker (Clinical)
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
VIRGINIA L RUAS M.D
Pediatrics
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
DR. IRMA ELENA BETTY M.D.
Pediatrics
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
JUAN T COCJIN MD
Pediatrics
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
SHAWNE BARRON
Dentist (Pediatric Dentistry)
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
MS. SANDRA K. TEMPLETON APRN, CPNP
Nurse Practitioner (Primary Care)
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600
DR. SHEELA JAYAPPA PATEL D.D.S
Dentist (Pediatric Dentistry)
2600 E BERRY ST
FORT WORTH, TX 76105
Tarrant County (817) 347-4600

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 Candle Johnson's NPI number?

The NPI number for Candle Johnson is 1508312067. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Candle Johnson located?

Candle Johnson practices at 2600 E Berry St, Fort Worth, TX 76105. The listed phone number is (817) 347-4600.

What is Candle Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Candle Johnson enrolled in Medicare?

Yes. Candle Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Candle Johnson accept?

Health plans from Imperial Insurance Companies, Inc. list Candle Johnson 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 Candle Johnson was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.