DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) – Nurse Practitioner, NPI 1790830404

DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) is a healthcare provider. based in Los angeles, California. specializing in Nurse Practitioner. They hold the professional credentials R.N., FNP-C. They hold a License No. 653544 (CA). The NPI Number for DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) is 1790830404

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C)
NPI
1790830404
Phone
(805) 479-8503
Address
11620 WILSHIRE BLVD STE 600
Enumeration Date
24 January 2007
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055633010
Graduation Year
2013 (13 years ago)
PAC ID
5991938318
Group Practice PAC ID
3678487774
Professional Enrollment ID
I20140508001499

Contacts

Secure Messaging
cwhealon1176622@oc.providencedirect.org
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

Provider Addresses for DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C)

  • 11620 WILSHIRE BLVD STE 600

    LOS ANGELES, CA 900251776

    Phone: (805) 479-8503

    Fax: (310) 362-9240

    Type: Location

  • South Street, Lakewood, Los Angeles County, California, 90713, United States

    LAKEWOOD, CA 907121419

    Phone: (856) 356-4924

    Type: Mailing

  • 1 Cooper Plaza, Haddon Avenue, Lanning Square, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031461

    Phone: (856) 342-3278

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

  • 11620 Wilshire Blvd Ste 600

    Los Angeles, CA 900251776

    Phone: (805) 479-8503

    Fax: (310) 362-9240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,366.

Total Amount is formed as General ($1,366) + Research ($0) + Ownership ($0) = $1,366.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($243).

Total Amount

$1,366

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

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: 2018-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140508001499INurse PractitionerCATBD
I20180810000993INurse PractitionerNJTBD

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
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 90025)

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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: 3678487774View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) across health systems?
The NPI 1790830404 uniquely identifies DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) in U.S. healthcare data.
Is DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C)'s NPI status active today?
Active status means DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C)'s NPI record is not deactivated in the public file.
What does the directory say DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) does?
Insurance directories may phrase it differently, but here DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) tied to Los Angeles, California?
If you are local to Los Angeles, California, DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C) may be relevant to your search.
Can I export DR. CANDICE ELIZABETH WHEALON (R.N., FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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