EFRAN CANDELARIA CRNA
NPI 1184801458
Nurse Anesthetist, Certified Registered in Worcester, MA
About Efran Candelaria Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EFRAN CANDELARIA CRNA (NPI 1184801458) is an individual nurse anesthetist, certified registered in Worcester, Massachusetts, licensed in Massachusetts (RN256660) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Efran Candelaria Crna 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.
Medicare Billing Reassignments
5Medicare enrollment records show Efran Candelaria reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01605
- Reassigned Medicare billing, Massachusetts enrollment
- 57 clinicians in this Medicare group
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- 344 clinicians in this Medicare group
Athol, MA 01331
- Reassigned Medicare billing, Massachusetts enrollment
- 324 clinicians in this Medicare group
Lawrence, MA 01842
- Reassigned Medicare billing, Massachusetts enrollment
- 231 clinicians in this Medicare group
Middleton, MA 01949
- Reassigned Medicare billing, Massachusetts enrollment
- 98 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Heywood Hospital
Acute Care Hospitals · Gardner, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Efran Candelaria's NPI number?
The NPI number for Efran Candelaria is 1184801458. It was assigned to this individual provider in the NPPES registry on January 29, 2008.
Where is Efran Candelaria located?
Efran Candelaria practices at 55 Lake Ave N Department Of Anesthesiology, Worcester, MA 01655. The listed phone number is (508) 334-3271.
What is Efran Candelaria's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Efran Candelaria enrolled in Medicare?
Yes. Efran Candelaria 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.
Which organizations bill Medicare for Efran Candelaria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Efran Candelaria reassigns Medicare benefits to 5 organizations: Tri Anesthesia LLC (Worcester, MA), Henry Heywood Memorial Hospital (Gardner, MA), Athol Memorial Hospital Incorporated (Athol, MA), Lawrence Anesthesia Services, LLC (Lawrence, MA) and Icon Anesthesia Services Of New England LLC (Middleton, MA). Each 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 Efran Candelaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Efran Candelaria accept?
Health plans from WellSense Health Plan list Efran Candelaria 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.
Is Efran Candelaria affiliated with any hospitals?
According to CMS data, Efran Candelaria is affiliated with Heywood Hospital.
When was this NPI record last updated?
The NPPES record for Efran Candelaria was last updated on November 19, 2020. 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.
# Efran Candelaria, CRNA · NPI 1184801458
Nurse Anesthetist, Certified Registered physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since January 29, 2008.
## Identity
- **NPI:** 1184801458 (Entity type: Individual)
- **Enumerated:** January 29, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN256660 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, Worcester, MA 01655-0002
- **Phone:** (508) 334-3271 · **Fax:** (508) 856-5911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Tri Anesthesia LLC (NPI 1275331761, Worcester, MA); Henry Heywood Memorial Hospital (NPI 1205448701, Gardner, MA); Athol Memorial Hospital Incorporated (NPI 1336120047, Athol, MA); Lawrence Anesthesia Services, LLC (NPI 1467699918, Lawrence, MA); Icon Anesthesia Services Of New England LLC (NPI 1629583323, Middleton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184801458) · Data from the CMS NPPES public registry.