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MRS. CANDACE LAIRD DUCKWORTH FNP-C
NPI 1013534478
Nurse Practitioner - Family in Brookhaven, MS

Active since July 01, 2020PECOS Enrolled
1578 SHANNA LN NW, BROOKHAVEN, MS 39601(601) 757-9659 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Candace Laird Duckworth Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CANDACE LAIRD DUCKWORTH FNP-C (NPI 1013534478) is an individual family provider in Brookhaven, Mississippi, licensed in Mississippi (903123) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013534478
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CANDACE LAIRD DUCKWORTHCredential: FNP-C
Location Address1578 SHANNA LN NWBrookhaven, MS 39601-4420
Mailing Address1578 Shanna Ln NwBrookhaven, MS 39601-4420 · (601) 757-9659
Phone(601) 757-9659
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1013534478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 903123
1578 SHANNA LN NW, Brookhaven, MS 39601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Candace Laird Duckworth Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618383183
PECOS Enrollment IDI20251016001720
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Duckworth's NPI number?

The NPI number for Candace Duckworth is 1013534478. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Candace Duckworth located?

Candace Duckworth practices at 1578 Shanna Ln NW, Brookhaven, MS 39601. The listed phone number is (601) 757-9659.

What is Candace Duckworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candace Duckworth enrolled in Medicare?

Yes. Candace Duckworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candace Duckworth was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.