CANDACE DENISE PHILLIPS – Family Nurse Practitioner, NPI 1487334801

CANDACE DENISE PHILLIPS is a healthcare provider. based in Allen park, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 23201104814 (MI). The NPI Number for CANDACE DENISE PHILLIPS is 1487334801

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE DENISE PHILLIPS
NPI
1487334801
Phone
(313) 623-4590
Address
15278 BELMONT AVE
Enumeration Date
20 July 2023
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3136762149
Graduation Year
2023 (3 years ago)
PAC ID
5698113256
Group Practice PAC ID
2062846876
Professional Enrollment ID
I20240402003658
Address ID
MI481261690DE7542XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for CANDACE DENISE PHILLIPS

  • 15278 BELMONT AVE

    ALLEN PARK, MI 481011710

    Phone: (313) 623-4590

    Type: Mailing

  • 5816 N SHELDON RD

    CANTON, MI 481873153

    Phone: (734) 307-0037

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $981.

Total Amount is formed as General ($981) + Research ($0) + Ownership ($0) = $981.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($396).

Total Amount

$981

General + Research + Ownership

Payments

37

Total payment records

General Amount

$981

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

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: 2024-04-02

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
I20240402003658INurse PractitionerMITBD

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 48101)

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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: 2062846876View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerON
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does CANDACE DENISE PHILLIPS have a public NPI I can cite?
Public records show CANDACE DENISE PHILLIPS under NPI 1487334801.
Quick check: is CANDACE DENISE PHILLIPS active?
Public NPPES data shows CANDACE DENISE PHILLIPS with an active NPI status right now.
How should patients interpret CANDACE DENISE PHILLIPS's specialty?
The extract shows Family Nurse Practitioner for CANDACE DENISE PHILLIPS. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANDACE DENISE PHILLIPS?
CANDACE DENISE PHILLIPS is associated with Allen Park, Michigan in the same public data insurers reference.
Why is information missing for CANDACE DENISE PHILLIPS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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