CANDICE QUEEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033655907

CANDICE QUEEN (CRNA) is a healthcare provider. based in Phoenix, Arizona. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 317394 (AZ). The NPI Number for CANDICE QUEEN (CRNA) is 1033655907

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CANDICE QUEEN (CRNA)
NPI
1033655907
Phone
(602) 839-2000
Address
1111 E McDowell Rd
Enumeration Date
16 January 2017
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6028392000
Graduation Year
2009 (17 years ago)
PAC ID
4688942964
Group Practice PAC ID
1355846106
Professional Enrollment ID
I20241219004129
Address ID
AZ850062612PH1111XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,061 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ

Provider Addresses for CANDICE QUEEN (CRNA)

  • 1111 E McDowell Rd

    Phoenix, AZ 850062612

    Phone: (602) 839-2000

    Type: Location

  • 6501 N 19th Ave

    Phoenix, AZ 850151646

    Phone: (602) 795-6020

    Type: Location

  • 5256, 3rd Avenue North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States

    SAINT PETERSBURG, FL 337108115

    Phone: (727) 565-6568

    Type: Mailing

  • Bayfront Health Saint Petersburg, 701, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337014814

    Phone: (727) 823-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20170608002103ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20211130001660ICertified Registered Nurse Anesthetist (Crna)COTBD
I20230510002434ICertified Registered Nurse Anesthetist (Crna)MTTBD
I20241219004129ICertified Registered Nurse Anesthetist (Crna)AZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85006)

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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: 1355846106View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AP
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

What number should I use to identify CANDICE QUEEN (CRNA) for billing?
Administrative and clinical systems typically use NPI 1033655907 for CANDICE QUEEN (CRNA).
Should I treat CANDICE QUEEN (CRNA) as an active provider?
Patients and plans typically see CANDICE QUEEN (CRNA) as active in the national extract.
What type of care does CANDICE QUEEN (CRNA) provide?
CANDICE QUEEN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANDICE QUEEN (CRNA)?
CANDICE QUEEN (CRNA) is associated with Phoenix, Arizona in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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