MS. CANDICE WHITE (APN) – Clinical Nurse Specialist, NPI 1104272079
Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
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Provider Addresses for MS. CANDICE WHITE (APN)
205 E 4TH ST
MACKINAW, IL 617557577
Phone: (309) 648-6632
Type: Mailing
Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States
PEORIA, IL 616370001
Phone: (309) 655-2000
Type: Location
8060 WOLF RIVER BLVD
GERMANTOWN, TN 381381727
Phone:
Type: Mailing
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-9419
Type: Mailing
801 BROADWAY N
FARGO, ND 581023641
Phone: (701) 234-2000
Fax: (701) 234-2345
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,551.
Total Amount is formed as General ($1,551) + Research ($0) + Ownership ($0) = $1,551.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Abbott Laboratories ($1,118).
Total Amount
$1,551
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,118 |
| ABIOMED | $194 |
| Bayer Healthcare Pharmaceuticals Inc. | $99 |
| United Therapeutics Corporation | $69 |
| AstraZeneca Pharmaceuticals LP | $37 |
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190207000814 | I | Nurse Practitioner | IL | TBD |
| I20240612003655 | I | Nurse Practitioner | TN | TBD |
| I20260303000312 | I | Certified Clinical Nurse Specialist (Cns) | ND | 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 61755)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| - | ND | |
| P S Y C H I A T R Y | ND | |
| - | PA | |
| N E P H R O L O G Y | SD | |
| U R O L O G Y | MI | |
| Nurse Practitioner | ND | |
| H O S P I T A L I S T | ND |
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