CANDIE M. WELLWOOD (DNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1386254290

CANDIE M. WELLWOOD (DNP, PMHNP) is a healthcare provider. based in Medical lake, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP. They hold a License No. AP61025826 (WA). The NPI Number for CANDIE M. WELLWOOD (DNP, PMHNP) is 1386254290

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CANDIE M. WELLWOOD (DNP, PMHNP)
NPI
1386254290
Phone
(509) 879-3631
Address
PO BOX 993
Enumeration Date
5 August 2020
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092996900
Graduation Year
2020 (6 years ago)
PAC ID
9133546708
Group Practice PAC ID
2567464696
Professional Enrollment ID
I20200827000940
Address ID
WA990228940ME731XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for CANDIE M. WELLWOOD (DNP, PMHNP)

  • PO BOX 993

    MEDICAL LAKE, WA 990220993

    Phone: (509) 879-3631

    Type: Mailing

  • 9908 S SHERMAN RD

    SPOKANE, WA 992249811

    Phone: (509) 879-3631

    Type: Location

  • 731 N STANLEY ST

    MEDICAL LAKE, WA 990228940

    Phone: (509) 299-6900

    Fax: (509) 299-6900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,963.

Total Amount is formed as General ($1,963) + Research ($0) + Ownership ($0) = $1,963.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Neuronetics, Inc. ($1,527).

Total Amount

$1,963

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,963

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2020-08-27

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
I20200827000940INurse PractitionerWATBD

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 99022)

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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: 2567464696View full group profile
NameSpecialtyState
C H I R O P R A C T I CCA
-WA
C H I R O P R A C T I CCA
Family PracticeWA
C H I R O P R A C T I CWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerID
Nurse PractitionerWA
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What is the standard ID for CANDIE M. WELLWOOD (DNP, PMHNP) in the U.S.?
In the U.S., CANDIE M. WELLWOOD (DNP, PMHNP) is identified by NPI 1386254290.
Is CANDIE M. WELLWOOD (DNP, PMHNP)'s NPI status active today?
Active status means CANDIE M. WELLWOOD (DNP, PMHNP)'s NPI record is not deactivated in the public file.
What does the directory say CANDIE M. WELLWOOD (DNP, PMHNP) does?
Insurance directories may phrase it differently, but here CANDIE M. WELLWOOD (DNP, PMHNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANDIE M. WELLWOOD (DNP, PMHNP)?
CANDIE M. WELLWOOD (DNP, PMHNP) is associated with Medical Lake, Washington in the same public data insurers reference.
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.

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