MS. CANDACE D MANGUM (CRNP) – Primary Care Nurse Practitioner, NPI 1407924384

MS. CANDACE D MANGUM (CRNP) is a healthcare provider. based in Notasulga, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-090975 (AL). The NPI Number for MS. CANDACE D MANGUM (CRNP) is 1407924384

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. CANDACE D MANGUM (CRNP)
NPI
1407924384
Phone
(334) 257-1081
Address
PO BOX 100
Enumeration Date
1 December 2006
Last Update Date
8 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347275900
Graduation Year
2005 (21 years ago)
PAC ID
7618070855
Group Practice PAC ID
2062408487
Professional Enrollment ID
I20070308000642
Address ID
AL360831558TU301XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MS. CANDACE D MANGUM (CRNP)

  • PO BOX 100

    NOTASULGA, AL 368660100

    Phone: (334) 257-1081

    Fax: (334) 257-1086

    Type: Mailing

  • West Main Street, Notasulga, Macon County, Alabama, 36866, United States

    NOTASULGA, AL 368660100

    Phone: (334) 257-1081

    Fax: (334) 257-1086

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($144).

Total Amount

$396

General + Research + Ownership

Payments

16

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070308000642INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80053Blood test, comprehensive group of blood chemicals3932$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3830$0
80061Blood test, lipids (cholesterol and triglycerides)2319$0
View full utilization report →

Insurance plans in this area (ZIP 36866)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062408487View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Family PracticeGA
Gastroenterology, Internal MedicineAL
Nurse PractitionerAL
-AL
General SurgeryAL
-AL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Can I verify MS. CANDACE D MANGUM (CRNP) with an NPI only?
You can start verification with NPI 1407924384 for MS. CANDACE D MANGUM (CRNP), then check state licensing separately.
Is MS. CANDACE D MANGUM (CRNP) listed as active for patients and plans?
The listing shows MS. CANDACE D MANGUM (CRNP) as active in the NPI system.
What is MS. CANDACE D MANGUM (CRNP) best known for clinically?
Directory data describes MS. CANDACE D MANGUM (CRNP) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. CANDACE D MANGUM (CRNP) serve?
MS. CANDACE D MANGUM (CRNP)'s listing highlights Notasulga, Alabama; more addresses can appear in NPPES.
Why does MS. CANDACE D MANGUM (CRNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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