CANDICE LAURA BLAIR NP
NPI 1811594146
Nurse Practitioner - Family in Knoxville, TN

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
76.17/100
CMS Quality Rating
1915 WHITE AVE, KNOXVILLE, TN 37916(865) 331-1720 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2020, Oct 9, 2020 (2 updates tracked since 2020).

About Candice Laura Blair Np NPPES

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

CANDICE LAURA BLAIR NP (NPI 1811594146) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (27497) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811594146
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE LAURA BLAIRCredential: NP
Location Address1915 WHITE AVEKnoxville, TN 37916-2300
Mailing Address1915 White AveKnoxville, TN 37916-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2020
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1811594146 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 · 27497
1915 WHITE AVE, Knoxville, TN 37916

Other Names 1

Former Name (1)Candice Cain

Other Identifiers 1

MedicaidQ061035TN

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 Laura Blair 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 ID7810317286
PECOS Enrollment IDI20201023001896
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 Reassignments

2

Medicare enrollment records show Candice Blair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1915 WHITE AVE
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 139 clinicians in this Medicare group
Hematology & Oncology
900 E HILL AVE, SUITE 230
Knoxville, TN 37915
  • Reassigned Medicare billing, Tennessee enrollment
  • 66 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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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.

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.

76.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.43
Promoting Interoperability87
Improvement Activities40
Cost35.04

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.

Dietitian, Registered
1915 WHITE AVE, THOMPSON CANCER SURVIVAL CENTER
KNOXVILLE, TN 37916
Nurse Practitioner (Family)
1915 WHITE AVE
KNOXVILLE, TN 37916
Nurse Practitioner (Family)
1915 WHITE AVE
KNOXVILLE, TN 37916
Internal Medicine
1915 WHITE AVE, SUITE 601
KNOXVILLE, TN 37916
Genetic Counselor, MS
1915 WHITE AVE
KNOXVILLE, TN 37916
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916
Internal Medicine (Medical Oncology)
1915 WHITE AVE
KNOXVILLE, TN 37916
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916

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 Blair's NPI number?

The NPI number for Candice Blair is 1811594146. It was assigned to this individual provider in the NPPES registry on October 9, 2020. The provider is also known as Candice Cain.

Where is Candice Blair located?

Candice Blair practices at 1915 White Ave, Knoxville, TN 37916. The listed phone number is (865) 331-1720.

What is Candice Blair's specialty?

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

Is Candice Blair enrolled in Medicare?

Yes. Candice Blair 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 organizations bill Medicare for Candice Blair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Blair reassigns Medicare benefits to 2 organizations: Thompson Oncology Group (Knoxville, TN) and Tennessee Cancer Specialists PLLC (Knoxville, TN). Each 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 Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Blair accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Candice Blair 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.

Is Candice Blair affiliated with any hospitals?

According to CMS data, Candice Blair is affiliated with Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Candice Blair was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.