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CANDICE NICOLE BLACKWOOD FNP
NPI 1306516893
Nurse Practitioner - Family in Decatur, AL

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
2424 DANVILLE RD SW STE K, DECATUR, AL 35603(256) 309-5850(256) 309-5851 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2023, Sep 15, 2021 (2 updates tracked since 2021).

About Candice Nicole Blackwood Fnp NPPES

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

CANDICE NICOLE BLACKWOOD FNP (NPI 1306516893) is an individual family provider in Decatur, Alabama, licensed in Alabama (1-156478) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306516893
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE NICOLE BLACKWOODCredential: FNP
Location Address2424 DANVILLE RD SW STE KDecatur, AL 35603-4219
Mailing Address61 County Road 390Trinity, AL 35673-3162 · (256) 345-8232
Phone(256) 309-5850
Fax(256) 309-5851
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 15, 2021
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1306516893 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 AL · 1-156478
2424 DANVILLE RD SW STE K, Decatur, AL 35603
Open in Google Maps ↗

Other Names 1

Former Name (1)Candice Nicole Sanders

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Candice Nicole Blackwood 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 ID7911396510
PECOS Enrollment IDI20211122000888
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 Reassignments

3

Medicare enrollment records show Candice Blackwood reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highlands Internal Medicine LLC
Same address
Internal Medicine
2422 DANVILLE RD, SUITE F
Decatur, AL 35603
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1568531820 (256) 350-2211
Attentus Moulton, LLC
16 mi
Rural Health
10939 AL HIGHWAY 157
Moulton, AL 35650
  • Reassigned Medicare billing, Alabama enrollment
  • 33 clinicians in this Medicare group
NPI 1124062286 (256) 974-8440
West Madison Urgent & Primary Care, LLC
16 mi
Urgent Care
11202 COUNTY LINE RD, SUITE A
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
NPI 1558006767 (256) 278-3080

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services88 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services17 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.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35603 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

HANNAH KALYN LONG CRNP
Nurse Practitioner (Family)
2424 DANVILLE RD SW STE K
DECATUR, AL 35603
Morgan County (256) 309-5850

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 Blackwood's NPI number?

The NPI number for Candice Blackwood is 1306516893. It was assigned to this individual provider in the NPPES registry on September 15, 2021. The provider is also known as Candice Nicole Sanders.

Where is Candice Blackwood located?

Candice Blackwood practices at 2424 Danville Rd SW Ste K, Decatur, AL 35603. The listed phone number is (256) 309-5850.

What is Candice Blackwood's specialty?

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

Is Candice Blackwood enrolled in Medicare?

Yes. Candice Blackwood 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 Candice Blackwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Blackwood reassigns Medicare benefits to 3 organizations: Highlands Internal Medicine LLC (Decatur, AL), Attentus Moulton, LLC (Moulton, AL) and West Madison Urgent & Primary Care, LLC (Madison, AL). 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 Candice Blackwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Blackwood accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Candice Blackwood 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 Candice Blackwood was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.