CANDACE PETERSON MS, OTRL
NPI 1124421771
Occupational Therapist - Pediatrics in Plymouth, MI
About Candace Peterson Ms, Otrl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE PETERSON MS, OTRL (NPI 1124421771) is an individual pediatrics provider in Plymouth, Michigan, licensed in Michigan (5201008338) and active in the NPI registry since September 2014. She maintains a secondary practice location in Farmington Hills.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Candace Peterson Ms, Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Candace Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Farmington Hills, MI 48331
- Reassigned Medicare billing, Michigan enrollment
- 2 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.
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 Peterson's NPI number?
The NPI number for Candace Peterson is 1124421771. It was assigned to this individual provider in the NPPES registry on September 26, 2014.
Where is Candace Peterson located?
Candace Peterson practices at 14969 Farmbrook Dr, Plymouth, MI 48170. The listed phone number is (616) 308-0719.
What is Candace Peterson's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Candace Peterson enrolled in Medicare?
Yes. Candace Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Candace Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Peterson reassigns Medicare benefits to Nurture Occupational Therapy, PLLC (Farmington Hills, MI). 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 Candace Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candace Peterson accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Candace Peterson 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 Candace Peterson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.