DR. CANDICE LARIZ HURST (PH.D.) – Clinical Psychologist, NPI 1427213065

DR. CANDICE LARIZ HURST (PH.D.) is a healthcare provider. based in Fort myers, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY7027 (FL). The NPI Number for DR. CANDICE LARIZ HURST (PH.D.) is 1427213065

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE LARIZ HURST (PH.D.)
NPI
1427213065
Phone
(239) 278-3443
Address
12499 BRANTLEY COMMONS CT
Enumeration Date
23 July 2008
Last Update Date
24 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392783443
Graduation Year
2003 (23 years ago)
PAC ID
2567523442
Group Practice PAC ID
0840287991
Professional Enrollment ID
I20081210000674
Address ID
FL339075694FO12499CTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. CANDICE LARIZ HURST (PH.D.)

  • 12499 BRANTLEY COMMONS CT

    SUITE 101

    FORT MYERS, FL 339075676

    Phone: (239) 278-3443

    Fax: (239) 278-3550

    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)

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: 2008-12-10

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
I20081210000674IClinical PsychologistFLTBD

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 33907)

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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: 0840287991View full group profile
NameSpecialtyState
Clinical PsychologistPA
Clinical PsychologistFL
Clinical PsychologistPA
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Can I cross-check DR. CANDICE LARIZ HURST (PH.D.) using NPI 1427213065?
NPI 1427213065 belongs to DR. CANDICE LARIZ HURST (PH.D.); compare other details if you need extra assurance.
Is DR. CANDICE LARIZ HURST (PH.D.) still an active registrant?
DR. CANDICE LARIZ HURST (PH.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. CANDICE LARIZ HURST (PH.D.)'s focus?
For DR. CANDICE LARIZ HURST (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CANDICE LARIZ HURST (PH.D.)?
Directory geography for DR. CANDICE LARIZ HURST (PH.D.) centers on Fort Myers, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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