CANDACE JEAN DAUGHERTY – Physician Assistant, NPI 1023413705

CANDACE JEAN DAUGHERTY is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.0004132 (CO). The NPI Number for CANDACE JEAN DAUGHERTY is 1023413705

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE JEAN DAUGHERTY
NPI
1023413705
Phone
(303) 306-7783
Address
PO BOX 173862
Enumeration Date
24 October 2014
Last Update Date
20 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034366000
Graduation Year
2014 (12 years ago)
PAC ID
0446572648
Group Practice PAC ID
0840629630
Professional Enrollment ID
I20141125000341
Address ID
CO802024214DE1545XSTXX300

Contacts

Secure Messaging
cdaugherty160776@direct.dhha.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for CANDACE JEAN DAUGHERTY

  • PO BOX 173862

    DENVER, CO 802173862

    Phone: (303) 306-7783

    Fax: (303) 306-7753

    Type: Mailing

  • 9191 GRANT ST

    THORNTON, CO 802294361

    Phone: (303) 450-4482

    Fax: (303) 306-7753

    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: 2014-11-25

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
I20141125000341IPhysician AssistantCOTBD

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 80217)

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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: 0840629630View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
Physician AssistantRI
Physician AssistantCO
Diagnostic RadiologyCO
Physician AssistantCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
Physician AssistantMI

Reviews

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Frequently asked questions

Where can patients find CANDACE JEAN DAUGHERTY's NPI?
You can confirm CANDACE JEAN DAUGHERTY with NPI 1023413705; it appears in the national provider directory.
Is CANDACE JEAN DAUGHERTY currently active in the NPI registry?
CMS-published data lists CANDACE JEAN DAUGHERTY as an active registrant.
Can you summarize CANDACE JEAN DAUGHERTY's specialty in plain language?
Clinically, the directory lists CANDACE JEAN DAUGHERTY with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for CANDACE JEAN DAUGHERTY?
The page summarizes Denver, Colorado for CANDACE JEAN DAUGHERTY; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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