CANDICE MELKERSON (DO) – Pediatrics Physician, NPI 1669053393

CANDICE MELKERSON (DO) is a healthcare provider. based in Cleveland, Ohio. specializing in PEDIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. 34.016986 (OH). The NPI Number for CANDICE MELKERSON (DO) is 1669053393

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CANDICE MELKERSON (DO)
NPI
1669053393
Phone
Not provided
Address
9500 EUCLID AVE
Enumeration Date
15 April 2021
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2164459596
Graduation Year
2021 (5 years ago)
PAC ID
0446651053
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20260225001992
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

Provider Addresses for CANDICE MELKERSON (DO)

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

  • 8254 MAYFIELD RD STE 4

    CHESTERLAND, OH 440262562

    Phone: (440) 729-0100

    Type: Location

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-4411

    Type: Mailing

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: 2026-02-25

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
I20260225001992IPediatric MedicineOHTBD

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 44195)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What identifier follows CANDICE MELKERSON (DO) across health systems?
The NPI 1669053393 uniquely identifies CANDICE MELKERSON (DO) in U.S. healthcare data.
Is CANDICE MELKERSON (DO) currently accepting referrals based on NPI status?
Registry metadata lists CANDICE MELKERSON (DO) as active.
Which specialty label fits CANDICE MELKERSON (DO)?
NPPES ties CANDICE MELKERSON (DO) to Pediatrics Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is CANDICE MELKERSON (DO) tied to Cleveland, Ohio?
If you are local to Cleveland, Ohio, CANDICE MELKERSON (DO) may be relevant to your search.
Can I export CANDICE MELKERSON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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