CANDIS L BROADNAX – Adult Health Clinical Nurse Specialist, NPI 1740605781

CANDIS L BROADNAX is a healthcare provider. based in Tulsa, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold a License No. 94532 (OK). The NPI Number for CANDIS L BROADNAX is 1740605781

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CANDIS L BROADNAX
NPI
1740605781
Phone
(918) 592-0999
Address
1265 S UTICA AVE
Enumeration Date
27 February 2014
Last Update Date
27 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185920999
Graduation Year
2013 (13 years ago)
PAC ID
5799908455
Group Practice PAC ID
4587737135
Professional Enrollment ID
I20140527001245
Address ID
OK741044012TU1120XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Provider Addresses for CANDIS L BROADNAX

  • 1265 S UTICA AVE

    SUITE 300

    TULSA, OK 741044243

    Phone: (918) 592-0999

    Fax: (918) 592-1021

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($149).

Total Amount

$253

General + Research + Ownership

Payments

16

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2014-05-27

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
I20140527001245ICertified Clinical Nurse Specialist (Cns)OKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4935$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2626$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

Loading plans...

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: 4587737135View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
-OK
Certified Clinical Nurse Specialist (Cns)OK
Nurse PractitionerOK
-OK
Interventional CardiologyOK
-OK
-OK
Certified Clinical Nurse Specialist (Cns)OK
Physician AssistantOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does CANDIS L BROADNAX have a public NPI I can cite?
Public records show CANDIS L BROADNAX under NPI 1740605781.
Quick check: is CANDIS L BROADNAX active?
Public NPPES data shows CANDIS L BROADNAX with an active NPI status right now.
How should patients interpret CANDIS L BROADNAX's specialty?
The extract shows Adult Health Clinical Nurse Specialist for CANDIS L BROADNAX. Clinical services aligned with this taxonomy classification.
What city is tied to CANDIS L BROADNAX?
The directory associates CANDIS L BROADNAX with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

CYNTHIA A CATTANEO (APRN-CNS)

Clinical Nurse Specialist
6600 S YALE AVE STE 1200
NPI: 1992711527

MRS. NEDENA ANN NEWMAN PIMENTEL (APRN)

Adult Health Clinical Nurse Specialist
6151, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 70136, United States
NPI: 1649379603

KAMI OPAL MOORE (CNS)

Adult Health Clinical Nurse Specialist
6151 S Yale Ave Ste 100A
NPI: 1639390768

MISS MELANIE RENE MCKINNEY (MS, CNS-BC)

Adult Health Clinical Nurse Specialist
1923S UTICA AVE
NPI: 1942479316

MRS. JILL DENISE HOLLEMAN (CNS)

Adult Health Clinical Nurse Specialist
Holliman Medical Building, 1705, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
NPI: 1316181084

CAROLINE POWELL COUSSENS (RN,ACNS-BC)

Adult Health Clinical Nurse Specialist
200, West 46th Street North, Tulsa, Tulsa County, Oklahoma, 74126, United States
NPI: 1184855389

STEFANIE N MANLEY (CNS)

Clinical Nurse Specialist
200 E PENNSYLVANIA AVE
NPI: 1609130541

DR. AMANDA WYATT (DNP, APRN-CNS,BC-ADM)

Adult Health Clinical Nurse Specialist
1313 E 20TH ST
NPI: 1952657587