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MRS. CANDICE NICOLE MCCLAIN FNP
NPI 1134579246
Nurse Practitioner - Family in Fraser, MI

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
81.26/100
CMS Quality Rating
33021 GARFIELD RD, FRASER, MI 48026(866) 389-2720 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Mar 17, 2018, Sep 20, 2017 and 2 more (5 updates tracked since 2016).

About Mrs. Candice Nicole Mcclain Fnp NPPES

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

MRS. CANDICE NICOLE MCCLAIN FNP (NPI 1134579246) is an individual family provider in Fraser, Michigan, licensed in Michigan (4704278998) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134579246
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CANDICE NICOLE MCCLAINCredential: FNP
Location Address33021 GARFIELD RDFraser, MI 48026-1800
Mailing Address33021 Garfield RdFraser, MI 48026-1800 · (866) 389-2727
Phone(866) 389-2720
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateNovember 2, 20225 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1134579246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704278998
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278998 (MI)
33021 GARFIELD RD, Fraser, MI 48026
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Candice Nicole Cleland

Secondary Practice Location 1

Location 122255 Greenfield Rd, Suite 422Southfield, MI 48075-3710 · Phone (248) 849-3195

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Candice Nicole Mcclain Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416223003
PECOS Enrollment IDI20171026001554
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
25 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48026 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.66
Improvement Activities40
Cost83.98

Other Providers at the Same Location NPPES 3

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

MANIT PAHUJA FNP-C
Nurse Practitioner (Family)
33021 GARFIELD RD
FRASER, MI 48026
Macomb County (866) 387-2727
MR. RICHARD A MATTHEW R.PH.
Pharmacist
33021 GARFIELD RD
FRASER, MI 48026
Macomb County (586) 293-5012
MISS KELLY PHUONG DOAN NURSE PRACTITIONER
Nurse Practitioner (Family)
33021 GARFIELD RD
FRASER, MI 48026
Macomb County (586) 293-5012

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 Candice Mcclain's NPI number?

The NPI number for Candice Mcclain is 1134579246. It was assigned to this individual provider in the NPPES registry on June 20, 2016. The provider is also known as Ms. Candice Nicole Cleland.

Where is Candice Mcclain located?

Candice Mcclain practices at 33021 Garfield Rd, Fraser, MI 48026. The listed phone number is (866) 389-2720.

What is Candice Mcclain's specialty?

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

Is Candice Mcclain enrolled in Medicare?

Yes. Candice Mcclain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Candice Mcclain was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.