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Candace Tickle

NPI 1366059347ActiveIndividual· Nurse Practitioner, Family· Lake Oswego, OR

Nurse Practitioner, Family with Nisha Jackson PC, practicing in Lake Oswego, Oregon. Enrolled in Medicare as practitioner - nurse practitioner. Lilly USA, LLC was the largest of 6 companies reporting payments in 2025, $171.82 in all, mostly food and beverage. Lists Legacy Meridian Park Medical Center as a hospital affiliation.

Overview

NPI1366059347
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 24, 2020
Last updated in NPPESFeb 11, 2026
Certified by providerFeb 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X10042487OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OR)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$171.82 · 8 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$171.82 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Family providers in Lake Oswego

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