MS. CANDACE D MANGUM (CRNP) – Primary Care Nurse Practitioner, NPI 1407924384
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $144 |
| GlaxoSmithKline, LLC. | $86 |
| Mylan Specialty L.P. | $40 |
| Astellas Pharma US Inc | $35 |
| PFIZER INC. | $31 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070308000642 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 39 | 32 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 38 | 30 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 23 | 19 | $0 |
Insurance plans in this area (ZIP 36866)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Family Practice | GA | |
| Gastroenterology, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| General Surgery | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
Reviews
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