CANDICE LATRICE REYNOLDS (PMHNP-BC, FNP-C) – Family Nurse Practitioner, NPI 1457664104
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,273 NURSE PRACTITIONER in DE
Provider Addresses for CANDICE LATRICE REYNOLDS (PMHNP-BC, FNP-C)
16 FREDERICKSBURG DR
MIDDLETOWN, DE 197093829
Phone:
Type: Mailing
2600 GLASGOW AVE STE 102
NEWARK, DE 197025703
Phone: (302) 918-6300
Fax: (302) 918-6330
Type: Location
4925 SHALIMAR LN APT 5102
DAVIE, FL 333287173
Phone: (302) 399-3019
Type: Mailing
6701 HIATUS RD
TAMARAC, FL 333216406
Phone: (954) 718-3256
Fax: (954) 718-3371
Type: Location
7901 4th St N Ste 300
St Petersburg, FL 337024399
Phone: (302) 648-2776
Type: Location
2139 N UNIVERSITY DR
PMB 3000
CORAL SPRINGS, FL 330716134
Phone: (302) 399-3019
Type: Mailing
1418 S STATE ST
DOVER, DE 199014948
Phone: (302) 257-3135
Fax: (302) 526-2410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Braeburn Inc. ($122).
Total Amount
$144
General + Research + Ownership
Payments
2
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $122 |
| Corium, LLC | $22 |
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: 2025-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20110610000043 | I | Nurse Practitioner | DE | TBD |
| I20190712000700 | I | Nurse Practitioner | FL | TBD |
| I20221126000008 | I | Nurse Practitioner | TX | TBD |
| I20221208000653 | I | Nurse Practitioner | MA | TBD |
| I20250226001651 | I | Nurse Practitioner | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MD |
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