CANDACE MARTINA HACK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407445059
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for CANDACE MARTINA HACK (APRN)
11 MCLEOD LN
MADISONVILLE, KY 424313650
Phone: (270) 245-2413
Fax: (877) 302-0636
Type: Mailing
105 ELK FORK RD
ELKTON, KY 422207218
Phone: (270) 265-2574
Type: Mailing
1739 CANTON ST
HOPKINSVILLE, KY 422401991
Phone: (270) 881-1411
Fax: (270) 886-6008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,017.
Total Amount is formed as General ($1,017) + Research ($0) + Ownership ($0) = $1,017.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($345).
Total Amount
$1,017
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,017
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-02-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210224001202 | I | Nurse Practitioner | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 31 | 24 | $0 |
Insurance plans in this area (ZIP 42431)
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