CANDACE EATON MAUNEY (FNP) – Nurse Practitioner, NPI 1366709685

CANDACE EATON MAUNEY (FNP) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 904790 (MS). The NPI Number for CANDACE EATON MAUNEY (FNP) is 1366709685

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE EATON MAUNEY (FNP)
NPI
1366709685
Phone
Not provided
Address
965 RIDGE LAKE BLVD STE 315
Enumeration Date
12 April 2012
Last Update Date
26 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625347474
Graduation Year
2021 (5 years ago)
PAC ID
1153727235
Group Practice PAC ID
5193610228
Professional Enrollment ID
I20210915002113
Address ID
MS386523319NE456XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for CANDACE EATON MAUNEY (FNP)

  • 965 RIDGE LAKE BLVD STE 315

    MEMPHIS, TN 381209401

    Phone:

    Fax: (901) 227-8591

    Type: Mailing

  • 452 W BANKHEAD ST

    NEW ALBANY, MS 386523319

    Phone: (662) 534-7474

    Fax: (662) 534-7100

    Type: Location

  • PO BOX 839

    CORINTH, MS 388350839

    Phone: (662) 286-9883

    Fax: (662) 286-9836

    Type: Mailing

  • 2441A COUNTY ROAD 501

    RIPLEY, MS 386639677

    Phone: (662) 837-8154

    Fax: (662) 837-9462

    Type: Location

  • 2441A County Road 501

    Ripley, MS 386639677

    Phone: (662) 837-8154

    Fax: (662) 837-9462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: KCI USA, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$16
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: 2021-09-15

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
I20210915002113INurse PractitionerMSTBD

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
99203New patient office or other outpatient visit, 30-44 minutes7777$0
99213Established patient office or other outpatient visit, 20-29 minutes4645$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
17000Destruction of precancer skin growth, 1 growth1512$0
View full utilization report →

Insurance plans in this area (ZIP 38120)

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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: 5193610228View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineNY
H E M A T O L O G Y/ O N C O L O G YTN
Family PracticeMS
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerMS
Internal MedicineAR
Internal MedicineGA
Nurse PractitionerTN
Internal MedicineTN

Reviews

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Frequently asked questions

What identifier follows CANDACE EATON MAUNEY (FNP) across health systems?
The NPI 1366709685 uniquely identifies CANDACE EATON MAUNEY (FNP) in U.S. healthcare data.
Should I treat CANDACE EATON MAUNEY (FNP) as an active provider?
Patients and plans typically see CANDACE EATON MAUNEY (FNP) as active in the national extract.
What does the directory say CANDACE EATON MAUNEY (FNP) does?
Insurance directories may phrase it differently, but here CANDACE EATON MAUNEY (FNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CANDACE EATON MAUNEY (FNP)?
CANDACE EATON MAUNEY (FNP) shows a connection to Memphis, Tennessee in registry-derived data.
Why is information missing for CANDACE EATON MAUNEY (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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