MRS. KAREN VERONICA MCCANDLESS RN, CRNP
NPI 1033306493
Nurse Practitioner - Pediatrics in Wilmington, DE

Active since October 01, 2007PECOS Enrolled
1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4822(302) 651-4844 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Karen Veronica Mccandless Rn, Crnp NPPES

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

MRS. KAREN VERONICA MCCANDLESS RN, CRNP (NPI 1033306493) is an individual pediatrics provider in Wilmington, Delaware, licensed in Delaware (LJ-0010394) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033306493
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KAREN VERONICA MCCANDLESSCredential: RN, CRNP
Location Address1600 ROCKLAND RDWilmington, DE 19803-3607
Mailing Address1600 Rockland RdWilmington, DE 19803-3607 · (302) 651-4822 · Fax (302) 651-4844
Fax(302) 651-4844
Sole ProprietorNo
Enumeration DateOctober 1, 2007
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1033306493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in DE · LJ-0010394✔ Licensed in PA · SP009519
1600 ROCKLAND RD, Wilmington, DE 19803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Karen Veronica Mccandless Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Mccandless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1600 ROCKLAND RD
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 526 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19803 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Obstetrics & Gynecology
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Psychologist (Clinical Child & Adolescent)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Nurse Practitioner
1600 ROCKLAND RD
WILMINGTON, DE 19803

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 Karen Mccandless's NPI number?

The NPI number for Karen Mccandless is 1033306493. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Karen Mccandless located?

Karen Mccandless practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (302) 651-4822.

What is Karen Mccandless's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Karen Mccandless enrolled in Medicare?

Yes. Karen Mccandless is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Mccandless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mccandless reassigns Medicare benefits to The Nemours Foundation (Wilmington, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Mccandless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Mccandless accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Karen Mccandless as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Mccandless was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.