CANDACE VICTORIA DONALDSON (APRN) – Family Nurse Practitioner, NPI 1235791047

CANDACE VICTORIA DONALDSON (APRN) is a healthcare provider. based in Bonifay, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11002881 (FL). The NPI Number for CANDACE VICTORIA DONALDSON (APRN) is 1235791047

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE VICTORIA DONALDSON (APRN)
NPI
1235791047
Phone
(850) 373-8588
Address
3489 HIGHWAY 162
Enumeration Date
1 July 2019
Last Update Date
1 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502630639
Graduation Year
2019 (7 years ago)
PAC ID
7719319128
Group Practice PAC ID
2668363771
Professional Enrollment ID
I20191122000694
Address ID
FL324401858GR5429XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:6State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CANDACE VICTORIA DONALDSON (APRN)

  • 3489 HIGHWAY 162

    BONIFAY, FL 324255825

    Phone: (850) 373-8588

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $287.

Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Lilly USA, LLC ($124).

Total Amount

$287

General + Research + Ownership

Payments

17

Total payment records

General Amount

$287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-11-22

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
I20191122000694INurse PractitionerFLTBD

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 32425)

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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: 2668363771View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineAL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerFL
Emergency Medicine, General PracticeFL
Family Practice, Emergency Medicine, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)NC
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does CANDACE VICTORIA DONALDSON (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CANDACE VICTORIA DONALDSON (APRN) uses 1235791047.
Does the file indicate CANDACE VICTORIA DONALDSON (APRN) is practicing under active NPI?
Directory data currently reports CANDACE VICTORIA DONALDSON (APRN) as active.
What healthcare role does CANDACE VICTORIA DONALDSON (APRN) hold?
Scheduling teams often label CANDACE VICTORIA DONALDSON (APRN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect CANDACE VICTORIA DONALDSON (APRN) on a map?
Expect Bonifay, Florida as a primary anchor for CANDACE VICTORIA DONALDSON (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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